MARK W. DICKINSON MD – NPI #1154320059
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

NPI Profile
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MARK DICKINSON is a physician located in BOSTON, MA. NPPES has assigned the NPI number 1154320059 to MARK DICKINSON on July 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 17 years ago on Aug 12, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK DICKINSON below.

NPI Profile for
MARK W. DICKINSON

NPI Number

1154320059

Enumeration Date

Jul 21, 2005
(about 21 years ago)

Entity Type

Type-1 Individual (Male)

Legal Name

MARK W. DICKINSON

Credentials

Primary location

388 COMMONWEALTH AVE
MGH BACK BAY
BOSTON, MA 02215-2800

Phone: (617) 267-7171 Fax: (617) 262-2608

Mailing address

Same as primary location

Sole Proprietor

Updated

Aug 12, 2009

Identifiers

Identifiers for MARK DICKINSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers

Description	Issuer	State	Identifier
OTHER	AETNA	MA	5035676
OTHER	BCBS	MA	J41145
OTHER	CIGNA	MA	3975642
OTHER	FALLON	MA	121680
OTHER	HPHC	MA	AA77715
OTHER	MASSHEALTH	MA	AA77715
OTHER	MEDICARE PTAN GROUP 21240	MA	OX2506
OTHER	MEDICARE PTAN GROUP 21241	MA	OX2507
OTHER	NETWORK HEALTH	MA	96009801
OTHER	TUFTS	MA	495561
MEDICAID		MA	2128071

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
208000000X - Pediatrics (Primary)	MA	230380
208M00000X - Hospitalist	MA	230380
207R00000X - Internal Medicine	MA	230380

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education

UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE - Graduated 1989

Accepts Medicare

This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.

Medicare Ordering & Referring

Provider can:

Refer to Part B
Order Durable Medical Equipment
Refer to Home Health Agency
Order Power Mobility Devices

Affiliations

MARK DICKINSON is affiliated with the following medical group(s):

HOSPITAL
- BRIGHAM AND WOMEN'S HOSPITAL
  75 FRANCIS STREET
  BOSTON, MA 02115
- FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S
  1153 CENTRE STREET
  BOSTON, MA 02130
- MASSACHUSETTS GENERAL HOSPITAL
  55 FRUIT STREET
  BOSTON, MA 02114
- NEWTON-WELLESLEY HOSPITAL
  2014 WASHINGTON STREET
  NEWTON, MA 02462
HOME HEALTH AGENCY
- MASS GENERAL BRIGHAM HOME CARE, INC
  95 WELLS AVE STE 320
  NEWTON, MA 02459
INPATIENT REHABILITATION FACILITY
- SPAULDING REHABILITATION HOSPITAL
  300 FIRST AVENUE
  CHARLESTOWN, MA 02129

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.