Active NPI
Frank J Suslavich, M.D.
- Diagnostic Radiology Physician
- Hibbing, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33348
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296798700 | Medicaid | MN | |
| 31577600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33348 | MN | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital Association | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Radiologists Associated in Duluth LTD | Body Imaging | Current | Accepting new patients |
| Lifecare Medical Center | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | 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.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Diagnostic Radiology Physician
- Hibbing, MN
- NPI 1598722688
Body Imaging, WI
-
dba Hibbing Imaging Center
- Diagnostic Radiology Physician
- Hibbing, MN
- NPI 1699956391
-
- Diagnostic Radiology Physician
- Duluth, MN
- NPI 1982661070
-
dba Grand Itasca Pharmacy
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
-
dba Lifecare Clinic Warroad
- Rural Health Clinic/Center
- Warroad, MN
- NPI 1619724077
-
dba HealthLine Medical Supply
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
dba Essentia Health Virginia
- General Acute Care Hospital
- Virginia, MN
- NPI 1083617120
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
-
dba Essentia Health St Marys Medical Center
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.