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DR. SAMANTHA MONIQUE BLACK MD
NPI 1891375465
Dermatology in Bedford, TX

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
1615 HOSPITAL PKWY STE 306, BEDFORD, TX 76022(817) 684-5100(817) 684-5101 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 7, 2025, Apr 8, 2021 (2 updates tracked since 2021).

About Dr. Samantha Monique Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA MONIQUE BLACK MD (NPI 1891375465) is an individual dermatology provider in Bedford, Texas, licensed in Texas (V6875) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2021).

NPPES Registry Identity

NPI1891375465
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SAMANTHA MONIQUE BLACKCredential: MD
Location Address1615 HOSPITAL PKWY STE 306Bedford, TX 76022-5936
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730-3255 · (512) 628-0465 · Fax (512) 233-2711
Phone(817) 684-5100
Fax(817) 684-5101
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1891375465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · V6875
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1615 HOSPITAL PKWY STE 306, Bedford, TX 76022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Monique Black Md 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.

PECOS PAC ID2769907260
PECOS Enrollment IDI20250417000366
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY KULANGARA JOHN
Physician Assistant
1615 HOSPITAL PKWY STE 306
BEDFORD, TX 76022
Tarrant County (512) 628-0465
DR. JORGE ROMAN M.D.
Dermatology
1615 HOSPITAL PKWY STE 306
BEDFORD, TX 76022
Tarrant County (817) 684-5100
DR. CHRISTOPHER KENTON FULLER M.D.
Dermatology
1615 HOSPITAL PKWY STE 306
BEDFORD, TX 76022
Tarrant County (817) 684-5100

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 Samantha Black's NPI number?

The NPI number for Samantha Black is 1891375465. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Samantha Black located?

Samantha Black practices at 1615 Hospital Pkwy Ste 306, Bedford, TX 76022. The listed phone number is (817) 684-5100.

What is Samantha Black's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Samantha Black enrolled in Medicare?

Yes. Samantha 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.

What insurance does Samantha Black accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Samantha 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 Samantha Black was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.