Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mark Wade Dickinson, MD
Pediatrics Physician in Boston, MA · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1154320059
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Registry record
Entity type Individual (Type 1)
Name Mark Wade Dickinson
Credential MD
Sex Male
Practice address 388 Commonwealth Ave, Mgh Back Bay, Boston, MA, 02215
Phone (617) 267-7171
Fax (617) 262-2608
Enumeration date Jul 21, 2005
Last updated in NPPES Aug 12, 2009
Taxonomy & licenses
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 230380 (MA) Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 230380 (MA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA77715 | Other | MA | HPHC |
| AA77715 | Other | MA | MASSHEALTH |
| 121680 | Other | MA | FALLON |
| 2128071 | Medicaid | MA | - |
| OX2506 | Other | MA | MEDICARE PTAN GROUP 21240 |
| 3975642 | Other | MA | CIGNA |
| 495561 | Other | MA | TUFTS |
| 5035676 | Other | MA | AETNA |
| 96009801 | Other | MA | NETWORK HEALTH |
| J41145 | Other | MA | BCBS |
| OX2507 | Other | MA | MEDICARE PTAN GROUP 21241 |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Mark Dickinson?
Mark Dickinson is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-12.