DR. CALLIE G. BLACK MD
NPI 1679658322
Pediatrics in Denver, CO
About Dr. Callie G. Black Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALLIE G. BLACK MD (NPI 1679658322) is an individual pediatrics provider in Denver, Colorado, licensed in Colorado (DR.0042742) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Callie G. Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Callie Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80247 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 Callie Black's NPI number?
The NPI number for Callie Black is 1679658322. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Callie Black located?
Callie Black practices at 10400 E Alameda Ave, Denver, CO 80247. The listed phone number is (303) 338-4545.
What is Callie Black's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Callie Black enrolled in Medicare?
Yes. Callie Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Callie Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Callie Black reassigns Medicare benefits to Colorado Permanente Medical Group, P.C. (Denver, CO). The 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 Callie Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Callie Black was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Callie G. Black, MD · NPI 1679658322
Pediatrics physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1679658322 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** DR.0042742 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 10400 E ALAMEDA AVE, Denver, CO 80247-5104
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2021
- **Other identifiers:** Other 017648 (CO); Medicaid 86471767 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1679658322) · Data from the CMS NPPES public registry.