Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679658322 Individual Practitioner Female Practitioner

Dr. Callie G. Black , MD

Pediatrics • Denver, CO

Professional Overview & Biography Verified Profile Summary

Dr. Callie Black, MD is a registered healthcare professional specializing in Pediatrics in Denver, CO. Practice services are available at 10400 E ALAMEDA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10400 E Alameda Ave

Denver, CO 802475104

Telephone 3033384545
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
241 Specialists

Practicing in Denver, CO (1195 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CO DR.0042742

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License CO 42742

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
86471767 (CO)
Commercial Insurance / Payer ID Kaiser Commercial Number
017648 (CO)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1003029299

Doctor of Medicine (M.D.)

NPI 1003038902

Doctor of Medicine (M.D.)

Cassandra Buzard , RN

Registered Nurse

NPI 1003054461

Registered Nurse

Erik Petersen , LPC

Counselor - Professional

NPI 1003060302

Licensed Professional Counselor

Lauren Hillary , PA-C

Physician Assistant

NPI 1003075821

Physician Assistant (Certified)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Business Mailing Address June 17, 2021

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Pediatrics (License #DR.0042742 in CO)

📍
Updated Business Mailing Address June 12, 2020

Registered at 2500 S HAVANA ST, AURORA, CO 800141618 (Tel: 3033384545)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Pediatrics (License #42742 in CO)

NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2017

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

📍
Updated Business Mailing Address January 13, 2017

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

👤
Provider Name / Credentials Updated January 13, 2017

Recorded as CALLIE BLACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Pediatrics (License #DR.0042742 in CO)

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2015

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

📍
Updated Business Mailing Address April 03, 2015

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

👤
Provider Name / Credentials Updated April 03, 2015

Recorded as CALLIE BLACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Pediatrics (License #42742 in CO)

🟢
Initial NPI Registration & Enumeration October 25, 2006

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: 1679658322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: June 17, 2021
Sole Proprietor: No

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

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.