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CHARLES THOMAS BLACK MD
NPI 1528049723
Surgery - Pediatric Surgery in Dallas, TX

Active since November 07, 2005PECOS Enrolled
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251(214) 483-9300(214) 483-9301 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Thomas Black Md NPPES

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

CHARLES THOMAS BLACK MD (NPI 1528049723) is an individual pediatric surgery provider in Dallas, Texas, licensed in Texas (F3761) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528049723
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameCHARLES THOMAS BLACKCredential: MD
Location Address12200 PARK CENTRAL DR STE 400Dallas, TX 75251-2116
Mailing Address12200 Park Central Dr Ste 400Dallas, TX 75251-2116 · (214) 483-9300 · Fax (214) 483-9301
Phone(214) 483-9300
Fax(214) 483-9301
Sole ProprietorYes
Enumeration DateNovember 7, 2005
Last NPPES UpdateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1528049723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in TX · F3761
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
12200 PARK CENTRAL DR STE 400, Dallas, TX 75251
Open in Google Maps ↗

Other Identifiers 12

Other0134405TX · United Health Care
Medicaid138311911TX
Other389962TX · One Health Plan
Other138311914TX · Cshcn
Other153410004TX · Pacificare
Other80390NBlue Cross
Other127631TX · Superior Chip
Other4130343TX · Aetna
Other10009560TX · Amerigroup
Medicaid138311913TX
Other3725428015TX · Cigna
Other41814TX · Aetna Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Thomas Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN L. LANOUE M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
JAY S. RODEN M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DAVID THOMAS SCHINDEL MD
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
ANSLEY BENSON PA
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DEVYN LANE PA-C
Physician Assistant (Surgical)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
EMMA LOVE TRASK
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DR. KEVIN M. KADESKY M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
HALLIE QUIROZ M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300

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 Charles Black's NPI number?

The NPI number for Charles Black is 1528049723. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Charles Black located?

Charles Black practices at 12200 Park Central Dr Ste 400, Dallas, TX 75251. The listed phone number is (214) 483-9300.

What is Charles Black's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Charles Black enrolled in Medicare?

Yes. Charles Black is registered in the Medicare PECOS enrollment system.

What insurance does Charles Black accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Black was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.