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DR. CHAD ROBINSON BLACK MD
NPI 1013186964
Family Medicine in Las Vegas, NV

Active since February 25, 2008PECOS Enrolled
3131 LA CANADA ST STE 200, LAS VEGAS, NV 89169(702) 369-5582(702) 369-8470 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Chad Robinson Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAD ROBINSON BLACK MD (NPI 1013186964) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (20232) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013186964
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHAD ROBINSON BLACKCredential: MD
Location Address3131 LA CANADA ST STE 200Las Vegas, NV 89169-2579
Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 216-3346
Phone(702) 369-5582
Fax(702) 369-8470
Sole ProprietorNo
Enumeration DateFebruary 25, 2008
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1013186964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NV · 20232✔ Licensed in FL · ME 100993
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3131 LA CANADA ST STE 200, Las Vegas, NV 89169
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Other Identifiers 3

Other20232NV · State License
Medicaid1013186964NV
OtherME100993FL · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chad Robinson Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Chad Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermountain Medical Holdings Nevada Inc
10 mi
Internal Medicine
595 W LAKE MEAD PKWY
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • 521 clinicians in this Medicare group
NPI 1245997279 (702) 566-5500
Medcura Health, Inc.
1,744 mi
Federally Qualified Health Center (FQHC)
2140 PEACHTREE RD NW STE 232
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 108 clinicians in this Medicare group
NPI 1023537321 (404) 231-4431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMYLI SCHULZ PA
Physician Assistant
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582
MAEGHAN ROSE DARBY PA-C
Physician Assistant
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582
JUANITA CARMONA RAMIREZ MD
Family Medicine
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582
MR. GENADI MALTINSKI M.D.
Family Medicine
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582
DR. THOMAS M BERGREN DO
Internal Medicine
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582
ALICE G VELASQUEZ-LEON APRN-C
Nurse Practitioner (Family)
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582
TIFFANY BRADLEY M.D.
Family Medicine
3131 LA CANADA ST STE 200
LAS VEGAS, NV 89169
Clark County (702) 369-5582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Black's NPI number?

The NPI number for Chad Black is 1013186964. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Chad Black located?

Chad Black practices at 3131 La Canada St Ste 200, Las Vegas, NV 89169. The listed phone number is (702) 369-5582.

What is Chad Black's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chad Black enrolled in Medicare?

Yes. Chad Black is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chad Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Black reassigns Medicare benefits to 2 organizations: Intermountain Medical Holdings Nevada Inc (Henderson, NV) and Medcura Health, Inc. (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chad Black was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.