Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kimberly G Black, MD

Individual provider Surgery Physician · NPI 1518199728

Dr. Kimberly G Black, MD is a General Surgery in Lone Tree, Colorado. Graduated from State University of New York at Stony Brook, School of Medicine in 2007, 19 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
19
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA, CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0055768 (CO)
Surgery Physician Taxonomy 208600000X · Licence A107360 (CA)

Record details

NPI number1518199728
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2009
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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