LILY ANN BLACK MD
NPI 1609495514
Family Medicine in Roslindale, MA
About Lily Ann Black Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY ANN BLACK MD (NPI 1609495514) is an individual family medicine provider in Roslindale, Massachusetts, licensed in Massachusetts (1016219) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Lily Ann 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 Reassignments
4Medicare enrollment records show Lily Black reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roslindale, MA 02131
- Reassigned Medicare billing, Massachusetts enrollment
- 41 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 195 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 113 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 158 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02131 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.
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 Lily Black's NPI number?
The NPI number for Lily Black is 1609495514. It was assigned to this individual provider in the NPPES registry on April 10, 2020.
Where is Lily Black located?
Lily Black practices at 4199 Washington St, Roslindale, MA 02131. The listed phone number is (405) 821-1155.
What is Lily Black's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lily Black enrolled in Medicare?
Yes. Lily 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 Lily Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lily Black reassigns Medicare benefits to 4 organizations: Boston Medical Center Corporation (Roslindale, MA), Child Health Foundation Of Boston, Inc. (Boston, MA), Boston University Family Medicine, Inc. (Boston, MA) and Boston University Obstetrics And Gynecology Foundation, Inc. (Boston, MA). 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 Lily Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lily Black accept?
Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Lily 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 Lily Black affiliated with any hospitals?
According to CMS data, Lily Black is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Lily Black was last updated on April 2, 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.
# Lily Ann Black, MD · NPI 1609495514
Family Medicine physician in Roslindale, Massachusetts. Individual provider, active in the CMS NPPES registry since April 10, 2020.
## Identity
- **NPI:** 1609495514 (Entity type: Individual)
- **Enumerated:** April 10, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 1016219 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 4199 WASHINGTON ST, Roslindale, MA 02131-1733
- **Phone:** (405) 821-1155
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Boston Medical Center Corporation (NPI 1386718823, Roslindale, MA); Child Health Foundation Of Boston, Inc. (NPI 1619969920, Boston, MA); Boston University Family Medicine, Inc. (NPI 1134166390, Boston, MA); Boston University Obstetrics And Gynecology Foundation, Inc. (NPI 1063459568, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609495514) · Data from the CMS NPPES public registry.