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

Jonathan S. Black, MD

Individual provider Pediatrics Physician · NPI 1548463300

Jonathan S. Black, MD is a Plastic and Reconstructive Surgery in Charlottesville, Virginia. Graduated from University of Nebraska College of Medicine in 2007, 19 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Trained at
University of Nebraska College of Medicine
Licensed in
VA
In the registry since
2007
Specialties on file
3
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

1300 Jefferson Park Ave
Charlottesville, VA 22903-3363
Phone: (434) 924-5078
Fax: (434) 924-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1204 W Main St, Charlottesville, VA 22903-2824 — (434) 982-6100
  • 1215 Lee St, Charlottesville, VA 22908-3363 — (434) 924-0211
  • 70 Medical Center Cir Ste 203, Fishersville, VA 22939-2273 — (540) 932-5571
  • 629 Cedar Creek Grade Ste B, Winchester, VA 22601-2786 — (540) 678-3950

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 0101256477 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence 0101256477 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116019221 (VA)

Record details

NPI number1548463300
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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