MR. TREVOR ELAN BLACK D.P.M.
NPI 1861835308
Podiatrist - Foot & Ankle Surgery in Moscow, ID
About Mr. Trevor Elan Black D.p.m. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TREVOR ELAN BLACK D.P.M. (NPI 1861835308) is an individual foot & ankle surgery provider in Moscow, Idaho, licensed in Idaho (3381305) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Trevor Elan Black D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAOther Providers at the Same Location NPPES 11
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 Trevor Black's NPI number?
The NPI number for Trevor Black is 1861835308. It was assigned to this individual provider in the NPPES registry on April 15, 2013.
Where is Trevor Black located?
Trevor Black practices at 623 S Main St Ste 1, Moscow, ID 83843. The listed phone number is (208) 882-2011.
What is Trevor Black's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Trevor Black enrolled in Medicare?
Yes. Trevor Black is registered in the Medicare PECOS enrollment system.
Is Trevor Black affiliated with any hospitals?
According to CMS data, Trevor Black is affiliated with Saint Joseph's Hospital Of Atlanta, Inc.
When was this NPI record last updated?
The NPPES record for Trevor Black was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Mr. Trevor Elan Black, D.P.M. · NPI 1861835308
Foot & Ankle Surgery provider in Moscow, Idaho. Individual provider, active in the CMS NPPES registry since April 15, 2013.
## Identity
- **NPI:** 1861835308 (Entity type: Individual)
- **Enumerated:** April 15, 2013
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 3381305 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 623 S MAIN ST STE 1, Moscow, ID 83843-3042
- **Phone:** (208) 882-2011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861835308) · Data from the CMS NPPES public registry.