KENDRA MARIE BLACK M.D.
NPI 1225482425
Surgery in San Diego, CA
About Kendra Marie Black M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA MARIE BLACK M.D. (NPI 1225482425) is an individual surgery provider in San Diego, California, licensed in California (A176120) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kendra Marie Black M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kendra Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 248 clinicians in this Medicare group
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 421 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Regional One Health
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Kendra Black's NPI number?
The NPI number for Kendra Black is 1225482425. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Kendra Black located?
Kendra Black practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Kendra Black's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kendra Black enrolled in Medicare?
Yes. Kendra 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.
Which organizations bill Medicare for Kendra Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Black reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Ut Regional One Physicians Inc (Memphis, TN). 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 Kendra Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendra Black accept?
Health plans from Oscar Insurance Company list Kendra Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kendra Black affiliated with any hospitals?
According to CMS data, Kendra Black is affiliated with Regional One Health.
When was this NPI record last updated?
The NPPES record for Kendra Black was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kendra Marie Black, M.D. · NPI 1225482425
Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1225482425 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A176120 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (800) 926-8273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1740382993, San Diego, CA); Ut Regional One Physicians Inc (NPI 1093130585, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225482425) · Data from the CMS NPPES public registry.