JONATHAN CORWIN SLACK MD
NPI 1487226387
Pathology - Pediatric Pathology in Cleveland, OH

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE L2, OFFICE 216, CLEVELAND, OH 44195(216) 448-4899 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2023, Jul 12, 2021 (2 updates tracked since 2021).

About Jonathan Corwin Slack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN CORWIN SLACK MD (NPI 1487226387) is an individual pediatric pathology provider in Cleveland, Ohio, licensed in Massachusetts (287182) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487226387
Entity TypeIndividualMale
Primary Taxonomy207ZP0213X
Provider Legal NameJONATHAN CORWIN SLACKCredential: MD
Location Address9500 EUCLID AVE L2, OFFICE 216Cleveland, OH 44195
Mailing Address9500 Euclid Ave L2, Office 216Cleveland, OH 44195 · (216) 448-4899
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2021
Last NPPES UpdateMarch 11, 20232 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
NPI 1487226387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0213X
License Licensed in MA · 287182
Definition
A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
9500 EUCLID AVE L2, Cleveland, OH 44195

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Corwin Slack Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658759436
PECOS Enrollment IDI20230406002168
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Slack's NPI number?

The NPI number for Jonathan Slack is 1487226387. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Jonathan Slack located?

Jonathan Slack practices at 9500 Euclid Ave L2 Office 216, Cleveland, OH 44195. The listed phone number is (216) 448-4899.

What is Jonathan Slack's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Is Jonathan Slack enrolled in Medicare?

Yes. Jonathan Slack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Slack was last updated on March 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.