DR. MARK DAVID DEXTER M.D.
NPI 1033408513
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Apr 17, 2020, Nov 14, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Mark David Dexter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK DAVID DEXTER M.D. (NPI 1033408513) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (281842) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033408513
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MARK DAVID DEXTERCredential: M.D.
Location Address300 LONGWOOD AVEBoston, MA 02115-5737
Mailing Address300 Longwood AveBoston, MA 02115-5737 · (617) 355-6000
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2011
Enumeration DateApril 5, 2011
Last NPPES UpdateApril 5, 20234 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
NPI 1033408513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in MA · 281842
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
300 LONGWOOD AVE, Boston, MA 02115

Secondary Practice Locations 2

Location 1800 Washington StBoston, MA 02111-1552 · Phone (617) 636-8100 · Fax (617) 636-8391
Location 2282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9850 · Fax (860) 545-8812

Other Identifiers 3

Medicaid110158942AMA
Other281842MA · Ma Medical License
OtherS400622433MA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark David Dexter M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577787902
PECOS Enrollment IDI20200115003026
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Children's Hospital

Childrens · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number223302
Location300 Longwood AvenueBoston, MA 02115 · Suffolk County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Dexter's NPI number?

The NPI number for Mark Dexter is 1033408513. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is Mark Dexter located?

Mark Dexter practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Mark Dexter's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mark Dexter enrolled in Medicare?

Yes. Mark Dexter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Dexter affiliated with any hospitals?

According to CMS data, Mark Dexter is affiliated with Boston Children's Hospital.

When was this NPI record last updated?

The NPPES record for Mark Dexter was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.