DR. EVAN H BLACK MD
NPI 1932185089
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Detroit, MI

Q: What is Evan Black's NPI number?

The NPI number for Evan Black is 1932185089. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is Evan Black's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Evan Black was last updated on June 5, 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.

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment

4717 ST. ANTOINE, KRESGE EYE INSTITUTE, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Sep 17, 2021, Oct 31, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Evan H Black Md NPPES

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

DR. EVAN H BLACK MD (NPI 1932185089) is an individual ophthalmic plastic and reconstructive surgery provider in Detroit, Michigan, licensed in Michigan (4301071533) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1932185089

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameDR. EVAN H BLACKCredential: MD

Location Address4717 ST. ANTOINE, KRESGE EYE INSTITUTEDetroit, MI 48201-1423

Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (313) 577-8900 · Fax (313) 577-0700

Phone(313) 577-8900

Fax(313) 577-0700

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1994

Enumeration DateDecember 21, 2005

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1932185089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in MI · 4301071533

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

4717 ST. ANTOINE, Detroit, MI 48201

Open in Google Maps ↗

Secondary Practice Location 1

Location 129201 Telegraph Rd Ste 324Southfield, MI 48034-7646 · Phone (248) 357-5100 · Fax (248) 746-0683

Other Identifiers 1

Medicaid3462161MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Evan H 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 ID8729035720

PECOS Enrollment IDI20050401000370

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.

Medicare Billing Reassignments

Medicare enrollment records show Evan Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Group

0.2 mi

Optometrist

4717 SAINT ANTOINE ST
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
731 clinicians in this Medicare group

NPI 1063452233 (313) 577-8900

Consultants In Ophthalmic & Facial Plastic Surgery

15 mi

Ophthalmology

29201 TELEGRAPH RD, SUITE 324
Southfield, MI 48034

Reassigned Medicare billing, Michigan enrollment
12 clinicians in this Medicare group

NPI 1144256777 (248) 357-5100

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 14

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,700 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

198 services198 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

131 services129 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

115 services112 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

59 services59 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

57 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services41 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

42 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services38 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

34 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services32 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

13 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 5

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

NEHA CHAUDHARY GULATI OD

Optometrist

4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

DR. SURA HASSAN OD

Optometrist

4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

REBECA MARTINEZ ARCHER M.D.

Student in an Organized Health Care Education/Training Program

4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-7614

KAMAL FAHIM MD

Ophthalmology

4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

JOHN R. SUCHOMEL M.D.

Ophthalmology

4717 ST. ANTOINE
DETROIT, MI 48201

Wayne County (313) 577-8900

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 Evan Black's NPI number?

The NPI number for Evan Black is 1932185089. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Evan Black located?

Evan Black practices at 4717 St. Antoine Kresge Eye Institute, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Evan Black's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Evan Black enrolled in Medicare?

Yes. Evan 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 Evan Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Black reassigns Medicare benefits to 2 organizations: University Physician Group (Detroit, MI) and Consultants In Ophthalmic & Facial Plastic Surgery (Southfield, MI). 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 Evan Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Black accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Evan 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.

Is Evan Black affiliated with any hospitals?

According to CMS data, Evan Black is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Evan Black was last updated on June 5, 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.