DR. MARK P. KRIVOSHIK (MD) – Internal Medicine Physician, NPI 1669409306

DR. MARK P. KRIVOSHIK (MD) is a healthcare provider. based in Jamesburg, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME165883 (FL). The NPI Number for DR. MARK P. KRIVOSHIK (MD) is 1669409306

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK P. KRIVOSHIK (MD)
NPI
1669409306
Phone
(732) 674-3673
Address
519A REVERE WAY
Enumeration Date
27 June 2006
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
7273221054
Graduation Year
1986 (40 years ago)
PAC ID
2365441102
Group Practice PAC ID
1658274675
Professional Enrollment ID
I20240320004138
Address ID
FL337138900ST1839XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. MARK P. KRIVOSHIK (MD)

  • 519A REVERE WAY

    JAMESBURG, NJ 088311805

    Phone: (732) 674-3673

    Fax: (732) 605-5924

    Type: Mailing

  • 8133 54th Ave N

    St Petersburg, FL 337091001

    Phone: (727) 541-4458

    Fax: (727) 546-6663

    Type: Location

  • 1839 CENTRAL AVE

    ST PETERSBURG, FL 337139089

    Phone: (727) 322-1054

    Fax: (727) 322-2725

    Type: Location

  • 10875 Park Blvd Ste A

    Seminole, FL 337725456

    Phone: (727) 851-9910

    Fax: (727) 851-9949

    Type: Location

  • 1785 NORTHPOINTE PKWY, SUITE 300

    CLEARWATER, FL 33558

    Phone: (813) 536-7277

    Fax: (833) 642-0635

    Type: Mailing

  • Saint Francis Medical Center, 601, Hamilton Avenue, South Trenton, Trenton, Mercer County, New Jersey, 08629, United States

    TRENTON, NJ 086290000

    Phone: (609) 599-5055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($23).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-20

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
I20210921003327IInternal MedicineNJTBD
I20240320004138IInternal MedicineFLTBD

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 08831)

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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: 1658274675View full group profile

Reviews

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Frequently asked questions

How do I look up DR. MARK P. KRIVOSHIK (MD) by NPI?
Use NPI 1669409306 when you need to reference DR. MARK P. KRIVOSHIK (MD) in forms, claims, or directories.
Is DR. MARK P. KRIVOSHIK (MD)'s NPI currently valid?
The extract we use shows DR. MARK P. KRIVOSHIK (MD) as active.
Does DR. MARK P. KRIVOSHIK (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. MARK P. KRIVOSHIK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK P. KRIVOSHIK (MD)?
The snapshot lists Jamesburg, New Jersey for DR. MARK P. KRIVOSHIK (MD); download NPPES for the complete set.
What if Jamesburg, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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