Kelly Black, MD, MSC
NPI 1457499592 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Fort Worth, TX
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Black, MD, MSC is a Pediatric Emergency Medicine (Emergency Medicine) Physician provider in Fort Worth, TX (NPI 1457499592).
Provider details
- NPI number
- 1457499592
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MSC
- Sex
- Female
- Sole proprietor
- No
- License
- 41081 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Frequently asked questions
- What is Kelly Black's NPI number?
- Kelly Black's National Provider Identifier (NPI) is 1457499592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Black's specialty?
- Kelly Black is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Black located?
- Kelly Black's practice location on file with NPPES is 801 7th Ave, Fort Worth, TX 76104-2733.
- What is Kelly Black's phone number?
- The practice phone number listed in the NPPES registry for Kelly Black is (682) 885-4095.
- Does Kelly Black accept Medicare?
- Kelly Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Black's NPI active?
- Yes — Kelly Black's NPI (1457499592) is active in the NPPES registry as of the last update on 2021-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.