CONNOR BLACK DO
NPI 1669176160
Emergency Medicine in Fort Lauderdale, FL
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, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Connor Black reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Columbia, SC 29209
- Reassigned Medicare billing, South Carolina enrollment
- 38 clinicians in this Medicare group
Prattville, AL 36067
- Reassigned Medicare billing, Alabama enrollment
- 223 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Glasgow, KY 42141
- Reassigned Medicare billing, Kentucky enrollment
- 68 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 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.
Jewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYPhysician 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.
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.
FORT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
FT LAUDERDALE, FL 33316
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.
Which organizations bill Medicare for Connor Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Black reassigns Medicare benefits to 6 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Urgent Care Services Of South Carolina PC (Columbia, SC), Emergency Services Of Montgomery PC (Prattville, AL), Paragon Contracting Services LLC (Birmingham, AL), Urgent Care Services Southeast Psc (Glasgow, KY) and 1 more organization, listed in the Medicare section above. 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 Connor Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connor Black accept?
Health plans from Blue Cross and Blue Shield of Alabama list Connor 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 Connor Black affiliated with any hospitals?
According to CMS data, Connor Black is affiliated with Jewish Hospital & St Mary's Healthcare.
When was this NPI record last updated?
The NPPES record for Connor Black was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Connor Black, DO · NPI 1669176160
Emergency Medicine physician in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1669176160 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 06250 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 S ANDREWS AVE, Fort Lauderdale, FL 33316-2510
- **Phone:** (954) 355-4400
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Urgent Care Services Of South Carolina PC (NPI 1679409486, Columbia, SC); Emergency Services Of Montgomery PC (NPI 1528310323, Prattville, AL); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); Urgent Care Services Southeast Psc (NPI 1427831759, Glasgow, KY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669176160) · Data from the CMS NPPES public registry.