Individual provider Active NPI

Mark Anthony Salvatore, MD

  • Pediatric Gastroenterology Physician
  • Boston, MA
National Provider Identifier
1710977889
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
212694 Issued in MA
Practice address
175 Cambridge St
5TH Floor
Boston, MA 02114-2743
Phone
(617) 724-2561
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 212694 MA
Pediatric Gastroenterology Physician 2080P0206X 212694 MA Primary

Addresses

Primary practice location

175 Cambridge St
5TH Floor
Boston, MA 02114-2743

Mailing address

PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 726-8705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050310000094 MA Practitioner - GastroenterologyPractitioner - Pediatric Medicine 8022062264 Reassigns benefits to 2 organizations
I20151215000949 ME Practitioner - Pediatric MedicinePractitioner - Gastroenterology 8022062264 Reassigns benefits to 1 organization
I20220131001170 NH Practitioner - Pediatric MedicinePractitioner - Gastroenterology 8022062264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Pediatric Medicine
Education
Tufts University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Pediatrics CurrentSince Oct 15, 2015 Accepting new patients
General Hospital Corp Current Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
The General Hospital Corporation CurrentSince Feb 26, 2010 Accepting new patients
Emerson Hospital Past Accepting new patients

Locations

55 Fruit St
#6B
Boston, MA 02114
Phone (617) 726-6093

55 Fruit St
Ste 6B
Boston, MA 02114
Phone (617) 726-8705

175 Cambridge St
Fl 5
Boston, MA 02114
Phone (617) 726-2687

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

52 Second Ave
Ste 340
Waltham, MA 02451
Phone (781) 466-8967

16 Hospital Dr
Ste D
York, ME 03909
Phone (207) 351-1710

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

Interoperability endpoints

  • Direct secure messaging: salvatore.mark.mgh@direct.partners.masshiway.net
  • Direct secure messaging: mark.salvatore@yh.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1710977889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-8705",
            "fax_number": "617-643-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAMBRIDGE ST",
            "address_2": "5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142743",
            "telephone_number": "617-724-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "212694",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MA",
            "license": "212694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.