LILY ANN BLACK MD
NPI 1609495514
Family Medicine in Roslindale, MA

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
4199 WASHINGTON ST, ROSLINDALE, MA 02131(405) 821-1155 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2024, Jul 18, 2023, Apr 10, 2020 (3 updates tracked since 2020).

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

NPI1609495514
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLILY ANN BLACKCredential: MD
Location Address4199 WASHINGTON STRoslindale, MA 02131-1733
Mailing Address4199 Washington StRoslindale, MA 02131-1733 · (405) 821-1155
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1609495514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 1016219
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4199 WASHINGTON ST, Roslindale, MA 02131

Secondary Practice Location 1

Location 11 Boston Medical Center Place, Dowling 5th FLBoston, MA 02118 · Phone (617) 414-4465 · Fax (617) 414-3345

Accepted Insurance

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

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.

PECOS PAC ID7810319621
PECOS Enrollment IDI20231020001509
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.

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, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Pediatrics
4199 WASHINGTON ST, SUITE 1
BOSTON, MA 02131
Family Medicine
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dental Hygienist
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dentist
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Clinic/Center (Community Health)
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dietitian, Registered
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dietitian, Registered
4199 WASHINGTON ST
ROSLINDALE, MA 02131

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.

What insurance does Lily Black accept?

Health plans from Anthem Blue Cross and Blue Shield 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 with the weekly NPPES data releases published by CMS.