BLACK AND KLETZ MD PC
NPI 1700802097
Specialist in Mclean, VA
About Black And Kletz Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK AND KLETZ MD PC (NPI 1700802097) is a healthcare organization registered as a specialist in Mclean, Virginia and active in the NPI registry since July 2006. The organization lists Charlene A Devol, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black And Kletz Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Black And Kletz MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Yuill Black MD And Michael R Kletz MD PC's NPI number?
The NPI number for Yuill Black MD And Michael R Kletz MD PC is 1700802097. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Black And Kletz MD PC.
Where is Yuill Black MD And Michael R Kletz MD PC located?
Yuill Black MD And Michael R Kletz MD PC is located at 1420 Spring Hill Rd Suite 350, Mclean, VA 22102. The listed phone number is (703) 790-9722.
What is Yuill Black MD And Michael R Kletz MD PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Yuill Black MD And Michael R Kletz MD PC enrolled in Medicare?
Yes. Yuill Black MD And Michael R Kletz MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yuill Black MD And Michael R Kletz MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Allergy/Immunology, reassign their Medicare billing to Yuill Black MD And Michael R Kletz MD PC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Yuill Black MD And Michael R Kletz MD PC was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Black And Kletz Md Pc · NPI 1700802097
Specialist organization in Mclean, Virginia. Organization record, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1700802097 (Entity type: Organization)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Yuill Black Md And Michael R Kletz Md Pc
- **Organization subpart:** No
- **Authorized official:** Charlene Devol, BUSINESS MANAGER
## Practice location
- **Address:** 1420 SPRING HILL RD, SUITE 350, Mclean, VA 22102-3006
- **Phone:** (703) 790-9722 · **Fax:** (703) 893-8666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Allergy/Immunology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2007
- **Other identifiers:** Medicare PIN C05588 (VA); Medicare PIN 154178 (DC); Other CD8485 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1700802097) · Data from the CMS NPPES public registry.