SLAWOMIR MARK FRATCZAK (MD) – Internal Medicine Physician, NPI 1124009436

SLAWOMIR MARK FRATCZAK (MD) is a healthcare provider. based in Canton, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 35073829F (OH). The NPI Number for SLAWOMIR MARK FRATCZAK (MD) is 1124009436

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
SLAWOMIR MARK FRATCZAK (MD)
NPI
1124009436
Phone
(330) 580-4706
Address
1330 MERCY DR NW
Enumeration Date
14 November 2005
Last Update Date
19 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403808000
Graduation Year
1985 (41 years ago)
PAC ID
2769423466
Group Practice PAC ID
6103997747
Professional Enrollment ID
I20050512000506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SLAWOMIR MARK FRATCZAK (MD)

  • 1330, Mercy Drive Northwest, Canton, Stark County, Ohio, 44708, United States

    SUITE 510

    CANTON, OH 447082626

    Phone: (330) 580-4706

    Fax: (330) 580-4707

    Mailing address matches the actual address.

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: 2005-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050512000506IInternal MedicineOHTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6464$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 44708)

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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: 6103997747View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerIN
Internal MedicineOH
H O S P I T A L I S TMO
-OH
Physician AssistantOH
Nurse PractitionerOH
Internal MedicineOH

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Frequently asked questions

What number should I use to identify SLAWOMIR MARK FRATCZAK (MD) for billing?
Administrative and clinical systems typically use NPI 1124009436 for SLAWOMIR MARK FRATCZAK (MD).
Does the public listing show SLAWOMIR MARK FRATCZAK (MD) as active?
SLAWOMIR MARK FRATCZAK (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret SLAWOMIR MARK FRATCZAK (MD)'s specialty?
The extract shows Internal Medicine Physician for SLAWOMIR MARK FRATCZAK (MD). Clinical services aligned with this taxonomy classification.
Is SLAWOMIR MARK FRATCZAK (MD) tied to Canton, Ohio?
If you are local to Canton, Ohio, SLAWOMIR MARK FRATCZAK (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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