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

Lily Ann Black, MD

Individual provider Family Medicine Physician · NPI 1609495514

Lily Ann Black, MD is a Family Practice in Roslindale, Massachusetts. Qualified in 2020, 6 years ago. Practices with Boston Medical Center Corporation, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4199 Washington St
Roslindale, MA 02131-1733
Phone: (405) 821-1155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Boston Medical Center Place, Boston, MA 02118 — (617) 414-4465

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1016219 (MA)

Record details

NPI number1609495514
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Boston Medical Center Corporation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roslindale