Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEVERLY BLACK
NPI 1518647346
Nurse Anesthetist, Certified Registered in Chicago, IL

Active since July 18, 2023
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Mar 20, 2025, Nov 12, 2024 and 1 more (4 updates tracked since 2023).

About Beverly Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY BLACK (NPI 1518647346) is an individual nurse anesthetist, certified registered in Chicago, Illinois, licensed in Illinois (209031260) and active in the NPI registry since July 2023. She is affiliated with The University Of Chicago Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518647346
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameBEVERLY BLACK
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address1800 W Roscoe St Apt 323Chicago, IL 60657-1012 · (847) 899-2234
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1518647346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209031260
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041439265 (IL)
5841 S MARYLAND AVE, Chicago, IL 60637

Secondary Practice Locations 2

Location 11775 Dempster StPark Ridge, IL 60068-1143 · Phone (847) 723-2210
Location 21620 W Harrison StChicago, IL 60612-3801 · Phone (312) 942-5000

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

Beverly Black 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.

PECOS PAC ID9931621521
PECOS Enrollment IDI20250324003114

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

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.

Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637

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 Beverly Black's NPI number?

The NPI number for Beverly Black is 1518647346. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Beverly Black located?

Beverly Black practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Beverly Black's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Beverly Black enrolled in Medicare?

Yes. Beverly 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 Beverly Black affiliated with any hospitals?

According to CMS data, Beverly Black is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Beverly Black was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.