Black-Pearl Medical LLC
NPI 1629963780 · Point of Service · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black-Pearl Medical LLC is a Point of Service organization in San Antonio, TX (NPI 1629963780).
Provider details
- NPI number
- 1629963780
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Juliet Gatobu, Owner(316) 992-0034
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-06-10
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Black-Pearl Medical LLC's NPI number?
- Black-Pearl Medical LLC's National Provider Identifier (NPI) is 1629963780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black-Pearl Medical LLC?
- Black-Pearl Medical LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Black-Pearl Medical LLC located?
- Black-Pearl Medical LLC's practice location on file with NPPES is 12407 Walthampton St, San Antonio, TX 78216-2944.
- What is Black-Pearl Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Black-Pearl Medical LLC is (316) 992-0034.
- Does Black-Pearl Medical LLC accept Medicare?
- Black-Pearl Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black-Pearl Medical LLC?
- The authorized official listed on Black-Pearl Medical LLC's NPPES record is Juliet Gatobu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black-Pearl Medical LLC's NPI active?
- Yes — Black-Pearl Medical LLC's NPI (1629963780) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.