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

Stacey Rae Black, MD

Individual provider Diagnostic Radiology Physician · NPI 1336291038

Stacey Rae Black, MD is an Interventional Radiology in Las Vegas, Nevada. Graduated from University of Texas Medical Branch at Galveston in 2004, 22 years ago. Practices with Vascular and Interventional Partners PLLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Nevada and Tennessee.

Years since qualifying
22
Trained at
University of Texas Medical Branch at Galveston
Licensed in
AZ, NV, TN
In the registry since
2007
Specialties on file
5
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

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone: (702) 383-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 — (866) 730-5619

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 24464 (NV)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 64805 (TN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 24464 (NV)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 45984 (AZ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 45984 (AZ)

Record details

NPI number1336291038
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address1800 W Charleston Blvd, Las Vegas, NV 89102-2386

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2004 (22 years in practice)
Group practice Vascular And Interventional Partners Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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