SAMUEL JACOB BLACK MD, PHD
NPI 1124697958
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Samuel Jacob Black Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL JACOB BLACK MD, PHD (NPI 1124697958) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT222514) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Temple University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Jacob Black Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple University Hospital
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Black's NPI number?
The NPI number for Samuel Black is 1124697958. It was assigned to this individual provider in the NPPES registry on June 24, 2021.
Where is Samuel Black located?
Samuel Black practices at 3322 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-1800.
What is Samuel Black's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samuel Black enrolled in Medicare?
Yes. Samuel Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Samuel Black affiliated with any hospitals?
According to CMS data, Samuel Black is affiliated with Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Black was last updated on June 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.