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

Marissa Black, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1114269735

Marissa Black, MD is a Geriatric Medicine in Kirkland, Washington. Graduated from Tulane University School of Medicine in 2013, 13 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Trained at
Tulane University School of Medicine
Licensed in
WA
In the registry since
2013
Specialties on file
2
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

11521 NE 128th St Ste 100
Kirkland, WA 98034
Phone: (425) 899-6800
Fax: (425) 899-6818
Show map & directions

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

Additional practice locations (3)

  • 11521 Ne 128th St Ste 100, Kirkland, WA 98034 — (425) 899-6800
  • 325 9th Ave, Seattle, WA 98104-2420 — (206) 744-9102
  • 1660 S Columbian Way, Seattle, WA 98108-1532 — (206) 762-1010

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence MD60571983 (WA)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence MD60371542 (WA)

Record details

NPI number1114269735
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2013
Last updated in NPPESJuly 17, 2019
Mailing address11521 Ne 128th St Ste 100, Kirkland, WA 98034-4317

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kirkland