Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518199728 Individual Practitioner Female Practitioner

Dr. Kimberly G Black , MD

Surgery • Lone Tree, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Black, MD is a certified Surgery practicing in Lone Tree, CO. With approximately 19 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2007, Dr. Black delivers high-quality medical care to the local community at 10240 PARK MEADOWS DR.

Dr. Black is affiliated with Colorado Permanente Medical Group Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10240 Park Meadows Dr

Lone Tree, CO 801245425

Telephone 3033384545
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lone Tree, CO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -4.1 yrs vs City Avg
City Avg: 23.1 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
26 Specialists

Practicing in Lone Tree, CO (635 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (19 Years) 19 Yrs
Lone Tree Specialty Average (23.1 Years) 23.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-06-14
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0055768

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

NUCC Taxonomy Code: 208600000X

State License CA A107360

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
44972717 (CO)
Commercial Insurance / Payer ID Kaiser Commercial Number
026664 (CO)

Hospital & Practice Group Affiliations

Colorado Permanente Medical Group Pc

10240 Park Meadows Dr, Lone Tree, CO 801245425

Phone: 3033384545

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

11 Historical Events
📍
Updated Business Mailing Address June 14, 2021

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Surgery (License #DR.0055768 in CO)

📍
Updated Practice Location March 05, 2020

Registered at 10240 PARK MEADOWS DR, LONE TREE, CO 801245425 (Tel: 3033384545)

📍
Updated Business Mailing Address March 05, 2020

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Surgery (License #A107360 in CA)

NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2016

Registered at 2045 N FRANKLIN ST, DENVER, CO 802055437 (Tel: 3033384545)

📍
Updated Business Mailing Address June 16, 2016

Registered at 2045 N FRANKLIN ST, DENVER, CO 802055437 (Tel: 3033384545)

👤
Provider Name / Credentials Updated June 16, 2016

Recorded as KIMBERLY BLACK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Surgery (License #DR.0055768 in CO)

🟢
Initial NPI Registration & Enumeration August 20, 2009

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: 1518199728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2009
Last Update: June 14, 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.