LILY NICOLE RUBIN-BLACK MD, MPH
NPI 1215739818
Student in an Organized Health Care Education/Training Program in Charlotte, NC
About Lily Nicole Rubin-black Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY NICOLE RUBIN-BLACK MD, MPH (NPI 1215739818) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lily Nicole Rubin-black Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CHARLOTTE, NC 28207
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 Lily Rubin-black's NPI number?
The NPI number for Lily Rubin-black is 1215739818. It was assigned to this individual provider in the NPPES registry on March 25, 2025.
Where is Lily Rubin-black located?
Lily Rubin-black practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1544.
What is Lily Rubin-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 Lily Rubin-black enrolled in Medicare?
Yes. Lily Rubin-black is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lily Rubin-black was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Lily Nicole Rubin-Black, MD, MPH · NPI 1215739818
Student in an Organized Health Care Education/Training Program provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 25, 2025.
## Identity
- **NPI:** 1215739818 (Entity type: Individual)
- **Enumerated:** March 25, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 S KINGS DR, Charlotte, NC 28207-2134
- **Phone:** (704) 446-1544
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215739818) · Data from the CMS NPPES public registry.