GLENN R BLACK MD INC
NPI 1326253238
Internal Medicine - Cardiovascular Disease in Barberton, OH
About Glenn R Black Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN R BLACK MD INC (NPI 1326253238) is a healthcare organization registered as a cardiovascular disease in Barberton, Ohio and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Glenn Raymond Black, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 15
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenn R Black Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Glenn R Black MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D1100270
Glenn R Black MD · Barberton, OHFrequently 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 Glenn R Black MD Inc's NPI number?
The NPI number for Glenn R Black MD Inc is 1326253238. It was assigned to this organization in the NPPES registry on May 14, 2007.
Where is Glenn R Black MD Inc located?
Glenn R Black MD Inc is located at 103 5th St SE Ste S, Barberton, OH 44203. The listed phone number is (330) 753-5863.
What is Glenn R Black MD Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Glenn R Black MD Inc enrolled in Medicare?
Yes. Glenn R Black MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Glenn R Black MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Glenn R Black MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Glenn R Black MD Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D1100270) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Glenn R Black MD Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Glenn R Black MD Inc 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.
When was this NPI record last updated?
The NPPES record for Glenn R Black MD Inc was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Glenn R Black Md Inc · NPI 1326253238
Cardiovascular Disease organization in Barberton, Ohio. Organization record, active in the CMS NPPES registry since May 14, 2007.
## Identity
- **NPI:** 1326253238 (Entity type: Organization)
- **Enumerated:** May 14, 2007
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Glenn Black, MEDICAL DOCTOR
## Practice location
- **Address:** 103 5TH ST SE STE S, Barberton, OH 44203-4256
- **Phone:** (330) 753-5863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2024
- **Other identifiers:** Other 59634 (OH); Medicaid 0429549 (OH); Other 274462003005 (OH); and 12 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326253238) · Data from the CMS NPPES public registry.