CONNOR BLACK DO
NPI 1669176160
Emergency Medicine in Fort Lauderdale, FL

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316(954) 355-4400 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, Apr 24, 2026, Mar 28, 2023 (3 updates tracked since 2023).

About Connor Black Do NPPES

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

CONNOR BLACK DO (NPI 1669176160) is an individual emergency medicine provider in Fort Lauderdale, Florida, licensed in Kentucky (06250) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669176160
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCONNOR BLACKCredential: DO
Location Address1600 S ANDREWS AVEFort Lauderdale, FL 33316-2510
Mailing Address2452 Nw Columbia Ave Unit 11East Wenatchee, WA 98802-4198
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 28, 2023
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1669176160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 06250 Licensed in AL · 4451
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1600 S ANDREWS AVE, Fort Lauderdale, FL 33316

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

Connor Black Do 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 ID1254809213
PECOS Enrollment IDI20260507002297
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316

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 Connor Black's NPI number?

The NPI number for Connor Black is 1669176160. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Connor Black located?

Connor Black practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4400.

What is Connor Black's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Connor Black enrolled in Medicare?

Yes. Connor 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.

When was this NPI record last updated?

The NPPES record for Connor Black was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.