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DR. MARK SHLOMOVICH M.D.
NPI 1790065910
Pediatrics - Pediatric Critical Care Medicine in Bronx, NY

Active since August 18, 2011PECOS Enrolled
100/100
CMS Quality Rating
3411 WAYNE AVE FL 8, BRONX, NY 10467(718) 741-2037 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Shlomovich M.d. NPPES

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

DR. MARK SHLOMOVICH M.D. (NPI 1790065910) is an individual pediatric critical care medicine provider in Bronx, New York, licensed in New York (267571) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790065910
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MARK SHLOMOVICHCredential: M.D.
Location Address3411 WAYNE AVE FL 8Bronx, NY 10467-2552
Mailing Address826 Meehan AveFar Rockaway, NY 11691-5509
Phone(718) 741-2037
Sole ProprietorNo
Enumeration DateAugust 18, 2011
Last NPPES UpdateOctober 16, 2017
✔ NPI 1790065910 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 NY · 267571
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 267571 (NY)
3411 WAYNE AVE FL 8, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Shlomovich M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Shlomovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,049 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

SHANNA NEVELEV MD
Pediatrics
3411 WAYNE AVE FL 8
BRONX, NY 10467
Bronx County (718) 741-2507

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 Shlomovich's NPI number?

The NPI number for Mark Shlomovich is 1790065910. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Mark Shlomovich located?

Mark Shlomovich practices at 3411 Wayne Ave Fl 8, Bronx, NY 10467. The listed phone number is (718) 741-2037.

What is Mark Shlomovich's specialty?

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

Is Mark Shlomovich enrolled in Medicare?

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

Which organization bills Medicare for Mark Shlomovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Shlomovich reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Shlomovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Shlomovich was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.