DR. SAMUEL DEAN BLACK MD
NPI 1982499026
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is Samuel Black's NPI number?

The NPI number for Samuel Black is 1982499026. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is Samuel Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Black was last updated on April 10, 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 April 10, 2025PECOS Enrolled

601 ELMWOOD AVENUE BOX 655, ROCHESTER, NY 14642(585) 756-4800 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Samuel Dean Black Md NPPES

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

DR. SAMUEL DEAN BLACK MD (NPI 1982499026) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982499026

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SAMUEL DEAN BLACKCredential: MD

Location Address601 ELMWOOD AVENUE BOX 655Rochester, NY 14642-0001

Mailing Address601 Elmwood Avenue Box 655Rochester, NY 14642-0001

Phone(585) 756-4800

Sole ProprietorNo

Enumeration DateApril 10, 2025

NPPES CertifiedApril 10, 2025

✔ NPI 1982499026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 ELMWOOD AVENUE BOX 655, Rochester, NY 14642

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Dean Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

IAN WILLIAM WALLIS MD