Individual provider Active NPI

Frank J Suslavich, M.D.

  • Diagnostic Radiology Physician
  • Hibbing, MN
National Provider Identifier
1235116229
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33348 Issued in MN
Practice address
750 E 34TH St
Hibbing, MN 55746-2341
Phone
(218) 262-4881
Fax
(218) 362-6699
NPI assigned
Dec 29, 2005
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 33348 MN
Neuroradiology Physician 2085N0700X 33348 MN
Nuclear Radiology Physician 2085N0904X 33348 MN
Pediatric Radiology Physician 2085P0229X 33348 MN
Diagnostic Radiology Physician 2085R0202X 33348 MN Primary
Therapeutic Radiology Physician 2085R0203X 33348 MN
Vascular & Interventional Radiology Physician 2085R0204X 33348 MN
Diagnostic Ultrasound Physician 2085U0001X 33348 MN

Addresses

Primary practice location

750 E 34TH St
Hibbing, MN 55746-2341

Mailing address

23 W Central Entrance # 160
Duluth, MN 55811-3433
Phone (218) 722-3700

Other identifiers 2

IdentifierTypeStateIssuer
296798700MedicaidMN
31577600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050131000017 WI Practitioner - Diagnostic Radiology 0244143261 Reassigns benefits to 1 organization
I20101004000074 MN Practitioner - Diagnostic Radiology 0244143261 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33348MNMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Association CurrentSince Jul 15, 2011 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 1, 2024 Accepting new patients
Radiologists Associated in Duluth LTD Body Imaging CurrentSince Oct 31, 2000 Accepting new patients
Lifecare Medical Center CurrentSince Sep 25, 2025 Accepting new patients
Lifecare Medical Center CurrentSince Sep 25, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Oct 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Oct 1, 2024 Accepting new patients

Locations

10 Little Brook Rd
West Wareham, MA 02576

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

23 W Central Entrance
Duluth, MN 55811
Phone (218) 251-3407

925 E Superior St
Ste 109
Duluth, MN 55802
Phone (218) 336-1223

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1235116229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W CENTRAL ENTRANCE # 160",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113433",
            "telephone_number": "218-722-3700",
            "fax_number": "218-722-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 34TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462341",
            "telephone_number": "218-262-4881",
            "fax_number": "218-362-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSLAVICH",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MN",
            "license": "33348",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MN",
            "license": "33348",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MN",
            "license": "33348",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MN",
            "license": "33348",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "33348",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MN",
            "license": "33348",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "33348",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MN",
            "license": "33348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296798700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31577600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.