DESTIN R. BLACK MD
NPI 1306062625
Obstetrics & Gynecology - Gynecologic Oncology in Shreveport, LA
About Destin R. Black Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESTIN R. BLACK MD (NPI 1306062625) is an individual gynecologic oncology provider in Shreveport, Louisiana, licensed in Louisiana (024725) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Destin R. Black Md 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 Reassignment
Medicare enrollment records show Destin Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 3 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 6
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.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71103 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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Destin Black's NPI number?
The NPI number for Destin Black is 1306062625. It was assigned to this individual provider in the NPPES registry on April 17, 2007.
Where is Destin Black located?
Destin Black practices at 2600 Kings Hwy Suite 420, Shreveport, LA 71103. The listed phone number is (318) 212-8727.
What is Destin Black's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.
Is Destin Black enrolled in Medicare?
Yes. Destin 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 organization bills Medicare for Destin Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Destin Black reassigns Medicare benefits to Wk Gynecologic Oncology Clinic (Shreveport, LA). The 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 Destin Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Destin Black accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Destin 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 Destin Black affiliated with any hospitals?
According to CMS data, Destin Black is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Destin Black was last updated on June 18, 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.
# Destin R. Black, MD · NPI 1306062625
Gynecologic Oncology physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1306062625 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **State license:** 024725 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2600 KINGS HWY, SUITE 420, Shreveport, LA 71103-3950
- **Phone:** (318) 212-8727 · **Fax:** (318) 212-8771
## 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:** Wk Gynecologic Oncology Clinic (NPI 1740493923, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 1999
## Record status
- **NPPES last updated:** June 18, 2021
- **Other identifiers:** Other 4K574F600 (LA); Medicaid 1577936 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306062625) · Data from the CMS NPPES public registry.