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DR. MARK L WALTZMAN MD
NPI 1740248970
Pediatrics - Pediatric Emergency Medicine in Boson, MA

Active since May 04, 2006PECOS Enrolled
CHILDREN'S HOSPITAL BOSTON DIVISION OF EMERGENCY, 300 LONGWOOD AVE, BOSON, MA 02115(617) 355-6624 Get Directions Write a Review

NPPES record last updated: October 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark L Waltzman Md NPPES

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

DR. MARK L WALTZMAN MD (NPI 1740248970) is an individual pediatric emergency medicine provider in Boson, Massachusetts, licensed in Massachusetts (153293) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740248970
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MARK L WALTZMANCredential: MD
Location AddressCHILDREN'S HOSPITAL BOSTON DIVISION OF EMERGENCY, 300 LONGWOOD AVEBoson, MA 02115
Mailing Address300 Longwood Ave, 300 Longwood AveBoston, MA 02115-5724 · (617) 355-6624
Phone(617) 355-6624
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 27, 2007
✔ NPI 1740248970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 153293
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 153293 (MA)
CHILDREN'S HOSPITAL BOSTON DIVISION OF EMERGENCY, Boson, MA 02115
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Other Identifiers 3

Medicare UPINH12108
Medicare ID-Type UnspecifiedWA A30772
Medicaid3193240MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark L Waltzman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Waltzman's NPI number?

The NPI number for Mark Waltzman is 1740248970. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Waltzman located?

Mark Waltzman practices at Children's Hospital Boston Division Of Emergency 300 Longwood Ave, Boson, MA 02115. The listed phone number is (617) 355-6624.

What is Mark Waltzman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Mark Waltzman enrolled in Medicare?

Yes. Mark Waltzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Waltzman was last updated on October 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.