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

Mark Winter

Individual provider Diagnostic Radiology Physician · NPI 1417303405

Mark Winter is a Diagnostic Radiology in El Segundo, California. Graduated from Medical College of Wisconsin in 2016, 10 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Utah.

Years since qualifying
10
Trained at
Medical College of Wisconsin
Licensed in
FL, UT
In the registry since
2016
Specialties on file
3

Practice location Address checks out

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone: (281) 766-0959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 815 Pennsylvania Ave, Fort Worth, TX 76104-2294 — (817) 321-0390
  • 30 N 1900 E # 1a071, Salt Lake City, UT 84132-0002 — (920) 574-0143
  • 426 Granby St Apt 2c, Norfolk, VA 23510-1958 — (920) 574-0143

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME165038 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 12215487-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417303405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2016
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address3612 Grant Ct, Flower Mound, TX 75022-5117

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2016 (10 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in El Segundo