MARIO CHRISTIANTO (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1457611337

MARIO CHRISTIANTO (M.D.) is a healthcare provider. based in Somers point, New Jersey. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. 25MA10196500 (NJ). The NPI Number for MARIO CHRISTIANTO (M.D.) is 1457611337

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MARIO CHRISTIANTO (M.D.)
NPI
1457611337
Phone
(609) 653-3622
Address
100 MEDICAL CENTER WAY
Enumeration Date
24 May 2012
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122793500
Graduation Year
2008 (18 years ago)
PAC ID
5294968160
Group Practice PAC ID
0749198026
Professional Enrollment ID
I20170510000991
Address ID
IA511043734SI2720XBLVD400

Contacts

Secure Messaging
mchristianto740882@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

580 CRITICAL CARE (INTENSIVISTS) in NJ

Provider Addresses for MARIO CHRISTIANTO (M.D.)

  • 100 MEDICAL CENTER WAY

    SOMERS POINT, NJ 082442300

    Phone: (609) 653-3622

    Type: Mailing

  • 2920 HIGHWOODS BLVD

    RALEIGH, NC 276040010

    Phone: (877) 498-4490

    Type: Mailing

  • 3000 NEW BERN AVE

    RALEIGH, NC 276101231

    Phone: (919) 350-8000

    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: 2017-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20140429002084ICritical Care (Intensivists)NCTBD
I20160915002721ICritical Care (Intensivists)OHTBD
I20161011002410IPulmonary DiseaseORTBD
I20170510000991ICritical Care (Intensivists)IATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes254131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13077$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13071$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4140$0
99292Critical care, each additional 30 minutes3626$0
View full utilization report →

Insurance plans in this area (ZIP 08244)

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Provider's Procedures

MARIO CHRISTIANTO (M.D.) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASENC36556Insertion of central venous catheter for infusion, patient 5 years or older2016

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: 0749198026View full group profile
NameSpecialtyState
Interventional RadiologySD
Nurse PractitionerIA
Nurse PractitionerIA
P S Y C H I A T R YCO
A N E S T H E S I O L O G YFL
Radiation OncologyCA
Internal MedicineIA
Emergency MedicineIA
-IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Is MARIO CHRISTIANTO (M.D.) listed with a National Provider Identifier?
Yes — MARIO CHRISTIANTO (M.D.) has NPI 1457611337 on file in the registry.
Is there an active status for MARIO CHRISTIANTO (M.D.)?
For scheduling context, MARIO CHRISTIANTO (M.D.) is shown as active in the registry.
How would a patient describe MARIO CHRISTIANTO (M.D.)'s focus?
For MARIO CHRISTIANTO (M.D.), the primary taxonomy reads as Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in New Jersey is MARIO CHRISTIANTO (M.D.) registered?
Use Somers Point, New Jersey as the headline location for MARIO CHRISTIANTO (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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