DR. JORDAN BLACK MD
NPI 1083289730
Neurological Surgery in Royal Oak, MI

Active since May 25, 2021PECOS Enrolled
3555 W 13 MILE RD, ROYAL OAK, MI 48073(248) 982-0400 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Black Md NPPES

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

DR. JORDAN BLACK MD (NPI 1083289730) is an individual neurological surgery provider in Royal Oak, Michigan, licensed in Michigan (4351048510) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083289730
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JORDAN BLACKCredential: MD
Location Address3555 W 13 MILE RDRoyal Oak, MI 48073-6710
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Sole ProprietorYes
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1083289730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · 4351048510
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3555 W 13 MILE RD, Royal Oak, MI 48073

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jordan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 18

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

Ophthalmology (Retina Specialist)
3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073
Ophthalmology
3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073
Ophthalmology (Retina Specialist)
3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073
Ophthalmology (Retina Specialist)
3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073
Nurse Practitioner (Pediatrics)
3555 W 13 MILE RD
ROYAL OAK, MI 48073
General Acute Care Hospital
3555 W 13 MILE RD, N120
ROYAL OAK, MI 48073
Ophthalmology (Retina Specialist)
3555 W 13 MILE RD, LL-20
ROYAL OAK, MI 48073
Neurological Surgery
3555 W 13 MILE RD, STE N220
ROYAL OAK, MI 48073

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 Jordan Black's NPI number?

The NPI number for Jordan Black is 1083289730. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Jordan Black located?

Jordan Black practices at 3555 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 982-0400.

What is Jordan Black's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jordan Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Black was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.