DR. MARK DAVID DEXTER (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1033408513

DR. MARK DAVID DEXTER (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in CRITICAL CARE (INTENSIVISTS), PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 281842 (MA). The NPI Number for DR. MARK DAVID DEXTER (M.D.) is 1033408513

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK DAVID DEXTER (M.D.)
NPI
1033408513
Phone
(617) 636-8100
Address
800 Washington St
Enumeration Date
5 April 2011
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
6173556000
Graduation Year
2011 (15 years ago)
PAC ID
3577787902
Group Practice PAC ID
3476541830
Professional Enrollment ID
I20200115003026
Address ID
MA021155724BO300XXAVEX300

Contacts

Secure Messaging
mdexter82042@connecticutchildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

782 CRITICAL CARE (INTENSIVISTS) in MA

Provider Addresses for DR. MARK DAVID DEXTER (M.D.)

  • 800 Washington St

    Boston, MA 021111552

    Phone: (617) 636-8100

    Fax: (617) 636-8391

    Type: Location

  • 282 Washington St

    Hartford, CT 061063322

    Phone: (860) 545-9850

    Fax: (860) 545-8812

    Type: Location

  • PO BOX 28302

    NEW YORK, NY 100878302

    Phone: (617) 636-5000

    Type: Mailing

  • 800 WASHINGTON ST

    BOSTON, MA 021111552

    Phone: (617) 636-8100

    Fax: (617) 636-8391

    Type: Location

  • 300 LONGWOOD AVE

    BOSTON, MA 021155737

    Phone: (617) 355-6000

    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: 2023-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200115003026ICritical Care (Intensivists)MATBD
I20230112001045IPediatric MedicineCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 02111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476541830View full group profile
NameSpecialtyState
-MA
Nurse PractitionerMA
-MA
-MA
Allergy/Immunology, Pediatric MedicineMA
Hematology/Oncology, Pediatric MedicineMA
-MA
G A S T R O E N T E R O L O G YMA
-MA
Pediatric Medicine, Infectious DiseaseMA

Reviews

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Frequently asked questions

What identifier follows DR. MARK DAVID DEXTER (M.D.) across health systems?
The NPI 1033408513 uniquely identifies DR. MARK DAVID DEXTER (M.D.) in U.S. healthcare data.
Quick check: is DR. MARK DAVID DEXTER (M.D.) active?
Public NPPES data shows DR. MARK DAVID DEXTER (M.D.) with an active NPI status right now.
What does the directory say DR. MARK DAVID DEXTER (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARK DAVID DEXTER (M.D.) maps to Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARK DAVID DEXTER (M.D.)?
DR. MARK DAVID DEXTER (M.D.) shows a connection to Boston, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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