Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark R Fantaski, MD

Individual provider Internal Medicine Physician · NPI 1689651630

Dr. Mark R Fantaski, MD is an Internal Medicine in Gibsonia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 1990, 36 years ago. Practices with UPMC Community Medicine Inc, a 734-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
36
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5318 Ranalli Dr
Gibsonia, PA 15044-9653
Phone: (724) 449-9355
Fax: (724) 449-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD048987L (PA)

Record details

NPI number1689651630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESJanuary 14, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1990 (36 years in practice)
Group practice Upmc Community Medicine Inc — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Gibsonia