JAMES JR. BLACK (MD) – Emergency Medicine Physician, NPI 1699963793

JAMES JR. BLACK (MD) is a healthcare provider. based in Shaker hts, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 35090617 (OH). The NPI Number for JAMES JR. BLACK (MD) is 1699963793

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JAMES JR. BLACK (MD)
NPI
1699963793
Phone
(216) 286-6260
Address
3605 WARRENSVILLE CENTER ROAD
Enumeration Date
15 October 2007
Last Update Date
29 December 2008

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
7135275000
Graduation Year
2003 (23 years ago)
PAC ID
4981792553
Group Practice PAC ID
2860747946
Professional Enrollment ID
I20120111000183
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for JAMES JR. BLACK (MD)

  • 3605, Warrensville Center Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    1ST FLOOR

    SHAKER HTS, OH 44122

    Phone: (216) 286-6260

    Fax: (216) 286-6341

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 44106

    Phone: (216) 844-1000

    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: 2012-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120111000183IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making3030$0
99284Emergency department visit with moderate level of medical decision making2928$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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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: 2860747946View full group profile

Reviews

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Frequently asked questions

What is JAMES JR. BLACK (MD)'s NPI number?
JAMES JR. BLACK (MD)'s NPI is 1699963793 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JAMES JR. BLACK (MD)?
You should see JAMES JR. BLACK (MD) as active in CMS-hosted NPPES data.
What area of care is associated with JAMES JR. BLACK (MD)?
JAMES JR. BLACK (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is JAMES JR. BLACK (MD) registered?
Use Shaker Hts, Ohio as the headline location for JAMES JR. BLACK (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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