DR. DALLIAH MASHON BLACK (MD) – Surgery Physician, NPI 1295725794
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for DR. DALLIAH MASHON BLACK (MD)
17183 IH 45 South
MOB 1, Suite 330
The Woodlands, TX 77385
Phone: (936) 270-3655
Fax: (936) 270-3656
Type: Location
Houston Post Office, 123, South Main Street, Houston, Washington County, Pennsylvania, 15342, United States
HOUSTON, TX 772104439
Phone: (713) 792-2991
Type: Mailing
University of Texas MD Anderson Cancer Center, 1515, Holcombe Boulevard, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770304009
Phone: (713) 792-6161
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
17183 IH 45 SOUTH
MOB 1, SUITE 330
THE WOODLANDS, TX 77385
Phone: (936) 270-3655
Fax: (936) 270-3656
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $1,243.
Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.
Last reported payment date: 2023-04-23 • Largest payer in this snapshot: AXOGEN ($1,243).
Total Amount
$1,243
General + Research + Ownership
Payments
5
Total payment records
General Amount
$1,243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $1,243 |
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: 2023-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111221000621 | I | General Surgery | TX | TBD |
| I20231011000963 | I | General Surgery | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 21 | 21 | $0 |
| 19301 | Partial removal of breast | 17 | 16 | $0 |
Insurance plans in this area (ZIP 77385)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Psychiatry, Addiction Medicine | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.