Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225482425 Individual Practitioner Female Practitioner

Dr. Kendra Marie Black , MD

Surgery • San Diego, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kendra Black, MD is a certified Surgery practicing in San Diego, CA. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Black delivers high-quality medical care to the local community at 200 W ARBOR DR.

Dr. Black is affiliated with Ut Regional One Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 W Arbor Dr

San Diego, CA 921039000

Telephone 8009268273
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Diego, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -12.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
167 Specialists

Practicing in San Diego, CA (3346 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (10 Years) 10 Yrs
San Diego Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
94 51 $364.94 $119.75
99291 Critical care, first 30-74 minutes
34 13 $397.07 $195.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
30 30 $696.17 $174.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
16 16 $732.88 $184.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 14 $513.53 $148.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
12 11 $182.50 $73.42
99238 Hospital discharge day management, 30 minutes or less
12 11 $250.67 $83.01

Medical Specialties & State Licenses

CMS Verified: 2023-07-17
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A176120

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License CA A176120

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Hospital & Practice Group Affiliations

Ut Regional One Physicians Inc

877 Jefferson Ave, Memphis, TN 381032807

Phone: 9015458336

Secondary Practice Locations

7900 Lees Summit Rd

Kansas City, MO 641391246

Phone: 8164044862

4401 Wornall Rd

Kansas City, MO 641113241

Phone: 8169322107

2301 Holmes St

Kansas City, MO 641082677

Phone: 8164044175

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003044728

Doctor of Medicine (M.D.), FAAHPM

NPI 1003047531

Doctor of Medicine (M.D.)

Dale Trujillo , NP

Nurse Practitioner

NPI 1003104423

Nurse Practitioner

Kaylee Petersen , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003152364

Advanced Registered Nurse Practitioner

Irene Nevarez , NP

Nurse Practitioner

NPI 1003166646

Nurse Practitioner

NPI 1003239948

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 17, 2023

Registered at 200 W ARBOR DR, SAN DIEGO, CA 921039000 (Tel: 8009268273)

📍
Updated Business Mailing Address July 17, 2023

Registered at PO BOX 232410, SAN DIEGO, CA 921932410 (Tel: 8009268273)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Surgery (License #A176120 in CA)

📍
Updated Practice Location September 27, 2018

Registered at 2301 HOLMES ST, KANSAS CITY, MO 641082677 (Tel: 8164044175)

📍
Updated Business Mailing Address September 27, 2018

Registered at 2301 HOLMES ST, KANSAS CITY, MO 641082677 (Tel: 8164044175)

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2016

Registered at 701 W 5TH ST, ODESSA, TX 797634206 (Tel: 4327035059)

📍
Updated Business Mailing Address April 14, 2016

Registered at 701 W 5TH ST, ODESSA, TX 797634206 (Tel: 4327035059)

👤
Provider Name / Credentials Updated April 14, 2016

Recorded as KENDRA BLACK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225482425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2016
Last Update: July 17, 2023
Sole Proprietor: No

Mailing Address

Po Box 232410

San Diego, CA 921932410

Phone: 8009268273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.