DR. MARK ANTHONY SALVATORE (MD) – Pediatric Gastroenterology Physician, NPI 1710977889

DR. MARK ANTHONY SALVATORE (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in GASTROENTEROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 212694 (MA). The NPI Number for DR. MARK ANTHONY SALVATORE (MD) is 1710977889

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ANTHONY SALVATORE (MD)
NPI
1710977889
Phone
(617) 726-8705
Address
PO BOX 9142
Enumeration Date
28 October 2005
Last Update Date
14 September 2012

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177240287
Graduation Year
1999 (27 years ago)
PAC ID
8022062264
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20050310000094
Address ID
MA021142696BO55XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

828 GASTROENTEROLOGY in MA

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Provider Addresses for DR. MARK ANTHONY SALVATORE (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    CHARLESTOWN, MA 021299142

    Phone: (617) 726-8705

    Fax: (617) 643-2384

    Type: Mailing

  • Blackbird Doughnuts, 175, Cambridge Street, Downtown Crossing, West End, Boston, Suffolk County, Massachusetts, 02114, United States

    5TH FLOOR

    BOSTON, MA 021142743

    Phone: (617) 724-2561

    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: 2022-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050310000094IGastroenterologyMATBD
I20151215000949IPediatric MedicineMETBD
I20220131001170IPediatric MedicineNHTBD

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 02129)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK ANTHONY SALVATORE (MD) in the U.S.?
In the U.S., DR. MARK ANTHONY SALVATORE (MD) is identified by NPI 1710977889.
Should I treat DR. MARK ANTHONY SALVATORE (MD) as an active provider?
Patients and plans typically see DR. MARK ANTHONY SALVATORE (MD) as active in the national extract.
What type of care does DR. MARK ANTHONY SALVATORE (MD) provide?
DR. MARK ANTHONY SALVATORE (MD)'s profile centers on Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK ANTHONY SALVATORE (MD) in Charlestown, Massachusetts?
For routing, start with Charlestown, Massachusetts for DR. MARK ANTHONY SALVATORE (MD), then verify phone and hours locally.
Can I export DR. MARK ANTHONY SALVATORE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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