DR. MARK JEFFREY MOGUL (M.D.) – Pediatric Hematology & Oncology Physician, NPI 1336113752
Pediatric Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 HEMATOLOGY/ONCOLOGY in CA
Provider Addresses for DR. MARK JEFFREY MOGUL (M.D.)
PO BOX 10744
CLEARWATER, FL 337578744
Phone: (727) 532-0002
Fax: (727) 266-4943
Type: Mailing
2550 Sister Mary Columba Dr
Red Bluff, CA 960804327
Phone: (813) 295-1505
Type: Location
92 W MILLER ST
ORLANDO, FL 328062032
Phone: (218) 418-5883
Fax: (321) 841-8560
Type: Location
92 W MILLER ST FL 2
ORLANDO, FL 328062032
Phone: (857) 275-5035
Fax: (727) 266-4943
Type: Mailing
Saint Joseph's Hospital, 3001, West Dr. Martin Luther King Jr Boulevard, Tampa, Hillsborough County, Florida, 33603, United States
1ST FLOOR
TAMPA, FL 336076307
Phone: (813) 321-6820
Fax: (813) 287-6306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141029001845 | I | Hematology/Oncology | FL | TBD |
| I20220505002547 | I | Pediatric Medicine | MT | TBD |
| I20230224002143 | I | Pediatric Medicine | WA | TBD |
| I20231213002267 | I | Hematology/Oncology | WI | TBD |
| I20241024004407 | I | Pediatric Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33757)
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