TATIANA MASYK (MD) – Family Medicine Physician, NPI 1184624934

TATIANA MASYK (MD) is a healthcare provider. based in Sylvania, Ohio. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 35.072419 (OH). The NPI Number for TATIANA MASYK (MD) is 1184624934

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
TATIANA MASYK (MD)
NPI
1184624934
Phone
(419) 885-0291
Address
7559 CLUB RD
Enumeration Date
22 July 2005
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172636140
Graduation Year
1986 (40 years ago)
PAC ID
8325935505
Group Practice PAC ID
7012902265
Professional Enrollment ID
I20040302001006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for TATIANA MASYK (MD)

  • 7559, Club Road, Sylvania, Lucas County, Ohio, 43560, United States

    SYLVANIA, OH 435603722

    Phone: (419) 885-0291

    Type: Mailing

  • Kimole Lane, Adrian, Lenawee County, Michigan, 49221, United States

    SUITE A-4

    ADRIAN, MI 492211491

    Phone: (517) 263-6140

    Fax: (517) 265-5876

    Type: Location

  • 6480 ROCKSIDE WOODS BLVD S STE 330

    INDEPENDENCE, OH 441312222

    Phone: (567) 316-6755

    Fax: (216) 238-9526

    Type: Location

  • 5705 SUN VALLEY BLVD

    SYLVANIA, OH 435603745

    Phone: (517) 403-6857

    Type: Mailing

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 $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: ABBVIE INC. ($96).

Total Amount

$96

General + Research + Ownership

Payments

2

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$96
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: 2009-04-08

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
I20040302001006IFamily PracticeMITBD
I20090408000043IInternal 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43560)

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Provider's Procedures

TATIANA MASYK (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI81002Urinalysis, manual test6755
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle121121

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: 7012902265View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)WI
-MI
Internal MedicineMI

Reviews

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Frequently asked questions

How do I look up TATIANA MASYK (MD) by NPI?
Use NPI 1184624934 when you need to reference TATIANA MASYK (MD) in forms, claims, or directories.
Is TATIANA MASYK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TATIANA MASYK (MD) treat or focus on?
Patients typically see TATIANA MASYK (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for TATIANA MASYK (MD)?
We surface Sylvania, Ohio for TATIANA MASYK (MD) based on available NPPES addresses.
Is TATIANA MASYK (MD) a real provider?
This page reflects official NPPES data for NPI 1184624934. Always confirm identity and privileges with the practice and licensing boards.

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