JEROLD A BLACK M.D.
NPI 1740394170
Pediatrics in Santa Barbara, CA
About Jerold A Black M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEROLD A BLACK M.D. (NPI 1740394170) is an individual pediatrics provider in Santa Barbara, California, licensed in California (A76157) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Jerold A Black M.d. 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 Reassignment
Medicare enrollment records show Jerold Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Barbara, CA 93110
- Reassigned Medicare billing, California enrollment
- 403 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 93105 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 12
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 Jerold Black's NPI number?
The NPI number for Jerold Black is 1740394170. It was assigned to this individual provider in the NPPES registry on August 19, 2006.
Where is Jerold Black located?
Jerold Black practices at 51 Hitchcock Way, Santa Barbara, CA 93105. The listed phone number is (805) 563-6211.
What is Jerold Black's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jerold Black enrolled in Medicare?
Yes. Jerold 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 organization bills Medicare for Jerold Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerold Black reassigns Medicare benefits to Sansum Clinic (Santa Barbara, CA). 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 Jerold 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 Jerold Black was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jerold A Black, M.D. · NPI 1740394170
Pediatrics physician in Santa Barbara, California. Individual provider, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1740394170 (Entity type: Individual)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A76157 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 HITCHCOCK WAY, Santa Barbara, CA 93105-3101
- **Phone:** (805) 563-6211
## 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:** Sansum Clinic (NPI 1154354504, Santa Barbara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Medicaid 00A761570 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740394170) · Data from the CMS NPPES public registry.