Matthew Black, PA

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 29, 2022

Quick Facts

NPI Number
1891415063
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy363AM0700X — Specialty not listed
Phone
(208) 983-1700
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1891415063)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 29, 2022)
Data source: CMS NPPES

Provider Overview

MATTHEW BLACK, PA is a Healthcare provider based in Grangeville, ID who has been registered with CMS since 2022. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1891415063
Provider TypeIndividual Provider
GenderMale
CredentialPA
StatusActive
Enumeration DateAugust 29, 2022

Practice Location

CityGrangeville
StateID
ZIP Code83530-1345
Phone(208) 983-1700

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code363AM0700X
License StateID

Mailing Address

CityGrangeville
StateID
ZIP Code83530-1345
Phone(208) 983-1700
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1891415063 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1891415063for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1891415063 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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41,933
Specialty not listed Providers in the US

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People Also Ask

What is Matthew Black's NPI number?
Matthew Black's NPI number is 1891415063, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Matthew Black's NPI currently active?
Yes, Matthew Black's NPI status is Active as of the latest CMS NPPES database updates.
What does Matthew Black specialize in?
Matthew Black specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 363AM0700X.
Where does Matthew Black practice?
Matthew Black practices in Grangeville, ID 83530-1345.
When was Matthew Black's NPI issued?
Matthew Black's NPI was issued on August 29, 2022.
What is Matthew Black's provider type?
Matthew Black is registered as an Individual Provider under CMS NPI Type 1.