DR. MARK STEPHEN CONNELLY MD
NPI 1770876583
Pediatrics - Pediatric Critical Care Medicine in Washington, DC

Q: What is Mark Connelly's NPI number?

The NPI number for Mark Connelly is 1770876583. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Q: What is Mark Connelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Connelly was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 26, 2011PECOS Enrolled

111 MICHIGAN AVE NW, SUITE M4800, WASHINGTON, DC 20010(202) 476-6817 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Mark Stephen Connelly Md NPPES

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

DR. MARK STEPHEN CONNELLY MD (NPI 1770876583) is an individual pediatric critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD043066) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770876583

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MARK STEPHEN CONNELLYCredential: MD

Location Address111 MICHIGAN AVE NW, SUITE M4800Washington, DC 20010-2916

Mailing Address111 Michigan Ave Nw, Suite M4800Washington, DC 20010-2916 · (202) 476-6817

Phone(202) 476-6817

Sole ProprietorYes

Enumeration DateMay 26, 2011

Last NPPES UpdateJune 15, 2015

✔ NPI 1770876583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in DC · MD043066

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.

Also ListedPediatricsTaxonomy 208000000X · License 2014-00895 (NC)

111 MICHIGAN AVE NW, Washington, DC 20010

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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 Stephen Connelly 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.

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.

DR. ANDREA BADILLO MD

Surgery

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-2451

DR. TALITA MICHELLE JORDAN MD

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

YUE-HIN LOKE MD

Pediatrics (Pediatric Cardiology)

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

ELSHADEY YAYEHYERADE BEKELE

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (301) 565-4279

NOURA AL DHAHERI MD

Student in an Organized Health Care Education/Training Program

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

JIA LIU MD

Anesthesiology (Pediatric Anesthesiology)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

DR. CHARLES JOHN BILLINGTON JR. MD

Medical Genetics (Clinical Genetics (M.D.))

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

GINA JIN LEE PHARMD

Pharmacist (Pharmacotherapy)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-4080

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 Connelly's NPI number?

The NPI number for Mark Connelly is 1770876583. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Mark Connelly located?

Mark Connelly practices at 111 Michigan Ave NW Suite M4800, Washington, DC 20010. The listed phone number is (202) 476-6817.

What is Mark Connelly's specialty?

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

Is Mark Connelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Connelly was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.