MICHAEL LEWIS BLACK M.D.
NPI 1780620955
Radiology - Neuroradiology in Santa Ana, CA
About Michael Lewis Black M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL LEWIS BLACK M.D. (NPI 1780620955) is an individual neuroradiology provider in Santa Ana, California, licensed in California (G55416) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newport Beach, and is a graduate of State University Of Ny Upstate Medical University (1983).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
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
Michael Lewis 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 Reassignments
12Medicare enrollment records show Michael Black reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irvine, CA 92618
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Anaheim, CA 92801
- Reassigned Medicare billing, Texas and California enrollments
- Also billed through NPI 1649599085 (California)
- 7 clinicians in this Medicare group
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 311 clinicians in this Medicare group
Encino, CA 91436
- Reassigned Medicare billing, California enrollment
- 329 clinicians in this Medicare group
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 85 clinicians in this Medicare group
Palm Desert, CA 92260
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- 219 clinicians in this Medicare group
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 238 clinicians in this Medicare group
Columbia, MO 65201
- Reassigned Medicare billing, Missouri enrollment
- 110 clinicians in this Medicare group
Bay Village, OH 44140
- Reassigned Medicare billing, Iowa and Illinois enrollments
- 13 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
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 Michael Black's NPI number?
The NPI number for Michael Black is 1780620955. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Michael Black located?
Michael Black practices at 1100 N Tustin Ave, Santa Ana, CA 92705. The listed phone number is (714) 835-6055.
What is Michael Black's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.
Is Michael Black enrolled in Medicare?
Yes. Michael 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 Michael Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Black reassigns Medicare benefits to 12 organizations: Orthopedic Institute Of Newport Beach Limited Partnership (Irvine, CA), Beverly Radiology Medical Group III (Anaheim, CA), Pronet Imaging Medical Group, Inc. (Los Angeles, CA), San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA), Synergy Orthopedic Specialists, Inc. (San Diego, CA) and 7 more organizations, 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 Michael Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Black accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Michael 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.
When was this NPI record last updated?
The NPPES record for Michael Black was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Michael Lewis Black, M.D. · NPI 1780620955
Neuroradiology physician in Santa Ana, California. Individual provider, active in the CMS NPPES registry since June 22, 2006.
## Identity
- **NPI:** 1780620955 (Entity type: Individual)
- **Enumerated:** June 22, 2006
- **Primary specialty:** Radiology - Neuroradiology · taxonomy 2085N0700X
- **State license:** G55416 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 N TUSTIN AVE, Santa Ana, CA 92705-3509
- **Phone:** (714) 835-6055 · **Fax:** (714) 835-3287
## 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:** 12 organizations under Medicare reassignment (form CMS-855R): Orthopedic Institute Of Newport Beach Limited Partnership (NPI 1720914211, Irvine, CA); Beverly Radiology Medical Group III (NPI 1972826774, Anaheim, CA); Pronet Imaging Medical Group, Inc. (NPI 1528099488, Los Angeles, CA); San Fernando Valley Interventional Radiology And Imaging Center (NPI 1942350889, Encino, CA); Synergy Orthopedic Specialists, Inc. (NPI 1114282779, San Diego, CA); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1983
## Record status
- **NPPES last updated:** March 26, 2026
- **Other identifiers:** Medicaid 00G554160 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780620955) · Data from the CMS NPPES public registry.