JULIA L BLACK DO
NPI 1114379872
Family Medicine - Sports Medicine in Omaha, NE

Q: What is Julia Black's NPI number?

The NPI number for Julia Black is 1114379872. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Julia Black's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: Is Julia Black enrolled in Medicare?

No. Julia Black has opted out of Medicare through June 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Julia Black was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 06, 2016Opted out of Medicare · through Jun 24, 2027

2725 S 144TH ST STE 212, OMAHA, NE 68144(402) 637-0800(402) 637-0808 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2020, May 16, 2019 (2 updates tracked since 2019).

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About Julia L Black Do NPPES

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

JULIA L BLACK DO (NPI 1114379872) is an individual sports medicine provider in Omaha, Nebraska, licensed in Nebraska (2258) and active in the NPI registry since July 2016. She has opted out of Medicare through June 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114379872

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameJULIA L BLACKCredential: DO

Location Address2725 S 144TH ST STE 212Omaha, NE 68144-5253

Mailing Address2725 S 144th St Ste 212Omaha, NE 68144-5253 · (402) 637-0800 · Fax (402) 637-0808

Phone(402) 637-0800

Fax(402) 637-0808

Sole ProprietorNo

Enumeration DateJuly 6, 2016

Last NPPES UpdateJune 23, 20222 updates tracked since enumeration

NPPES CertifiedJune 23, 2022

✔ NPI 1114379872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in NE · 2258✔ Licensed in KS · 94-10056✔ Licensed in IA · DO-05227

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DO-05227 (IA), R10715 (IA)

2725 S 144TH ST STE 212, Omaha, NE 68144

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Julia L Black Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2025 through June 24, 2027.

Opt-Out Effective DateJune 24, 2025

Opt-Out In Effect ThroughJune 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68144 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 20

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

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