Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Kwalbrun, MD

Individual provider Diagnostic Radiology Physician · NPI 1811997042

Mark Kwalbrun, MD is a Diagnostic Radiology in Watertown, New York. Graduated from State University of New York Downstate Medical Center in 1997, 29 years ago. Practices with Samaritan Medical Center, a 158-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1571 Washington St Ste 101
Watertown, NY 13601-9304
Phone: (315) 786-5000
Fax: (315) 786-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 225726 (NY)

Record details

NPI number1811997042
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 29, 2005
Last updated in NPPESJanuary 15, 2014
Mailing address1571 Washington St, Suite 101, Watertown, NY 13601-9304

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1997 (29 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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