TIMOTHY L BLACK MD
NPI 1669453940
Surgery - Pediatric Surgery in Fort Worth, TX
NPI Status: Active since November 14, 2005
Contact Information
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-7080
Fax: (682) 885-7085
- Individual
- Male
- Surgery
- Pediatric Surgery
About TIMOTHY BLACK
This page provides the complete NPI Profile along with additional information for Timothy Black, a provider established in Fort Worth, Texas with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1669453940 assigned on November 2005. The practitioner's primary taxonomy code is 2086S0120X with license number H1467 (TX). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1669453940
- Provider Name
- TIMOTHY L BLACK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 COOPER ST FORT WORTH, TX 76104
- Location Phone
- (682) 885-7080
- Location Fax
- (682) 885-7085
- Mailing Address
- PO BOX 99371 FORT WORTH, TX 76199
- Mailing Phone
- (682) 885-4157
- Mailing Fax
- (682) 885-7085
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-14-2005
- Last Update Date
- 11-05-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H1467
- License State
- TX
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750369203 | OTHER (01) | NPI GROUP NUMBER | |
| 8G3393 | OTHER (01) | TX | BCBSTX PIN |
| 117647108 | MEDICAID (05) | TX | |
| 00U87Z | MEDICARE PIN (08) | TX | |
| 8G7178 | MEDICARE PIN (08) | TX | |
| 117647106 | MEDICAID (05) | TX | |
| E79519 | MEDICARE UPIN (02) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669453940, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 80 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669453940, enumerated as an "individual" on November 14, 2005.
The provider is located at 1500 COOPER ST FORT WORTH, TX 76104 and the phone number is (682) 885-7080.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
