JAMES E BLACK (M.D.) – Psychiatry Physician, NPI 1639147069

JAMES E BLACK (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ADDICTION MEDICINE, PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 036-092041 (IL). The NPI Number for JAMES E BLACK (M.D.) is 1639147069

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JAMES E BLACK (M.D.)
NPI
1639147069
Phone
Not provided
Address
8170 33RD AVE S
Enumeration Date
10 March 2006
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9072697100
Graduation Year
1991 (35 years ago)
PAC ID
4587556089
Group Practice PAC ID
5395638571
Professional Enrollment ID
I20250805003413
Address ID
AK995084665AN3700XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

40 ADDICTION MEDICINE in MN

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Provider Addresses for JAMES E BLACK (M.D.)

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MS21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States

    MAIL STOP 11302C, HEALTHPARTNERS REGIONS BEHAVIORAL HEA

    ST. PAUL, MN 551012502

    Phone: (651) 254-4786

    Fax: (651) 254-9426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110825000325IPsychiatryMNTBD
I20250805003413IPsychiatryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes27233$0
99239Hospital discharge day management, more than 30 minutes3333$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395638571View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
-MN
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerAK
Family PracticeAK
P S Y C H I A T R YNY
Nurse PractitionerWA
P S Y C H I A T R YAK
P S Y C H I A T R YCO

Reviews

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Frequently asked questions

What is the registry number for JAMES E BLACK (M.D.)?
The registry entry for JAMES E BLACK (M.D.) shows NPI 1639147069.
Is JAMES E BLACK (M.D.)'s NPI status active today?
Active status means JAMES E BLACK (M.D.)'s NPI record is not deactivated in the public file.
What type of care does JAMES E BLACK (M.D.) provide?
JAMES E BLACK (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is JAMES E BLACK (M.D.) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, JAMES E BLACK (M.D.) may be relevant to your search.
Who maintains JAMES E BLACK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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