I'm looking for all number pairs $(M,N)$ where $M,N$ have an even amount and the same amount of digits $2k$. Let's say $M=m_1m_2...m_{2k},N=n_1n_2...n_{2k}$ in decimal representation with their digits $m_i,n_i$. I am curious, for which number pairs we get the equality $$ \frac{m_1m_2...m_{2k}}{n_1n_2..n_{2k}} = \frac{m_1m_2...m_k + m_{k+1}...m_{2k}}{n_1n_2...n_k + n_{k+1}...n_{2k}} $$
It would be interesting how this works out in other number systems (besides decimal) as well.
I've already found a simple example, if the last $r \geq k$ digits are zeros, we get e.g.: $$ \frac{230000}{189000} = \frac{230 + 0}{189 + 0} = \frac{230}{189} $$
But I'm interested in more non-trivial examples.
As we already have an answer. What about applying this multiple times? How can we find a number, such that using this procedure iteratively we still get the same fraction?
Example: $$ \frac{4228}{5436} = \frac{42+28}{54+36} = \frac{70}{90} = \frac{7+0}{9+0} = \frac{7}{9} $$
There is a fact explaining that the solutions are somewhat, how to say, deceiving.
Consider the case of 6 digits numbers, like $230189$. It can be written:
$$230000+189=230 \times \underbrace{1000}_N + 189$$
With this notation, your condition can be written:
$$\frac{Na+b}{Nc+d}=\frac{a+b}{c+d}=\color{red}{\frac{(N-1)a}{(N-1)c}=\frac{a}{c}}\tag{1}$$
(see remark below) which is possible iff considering the extreme fractions in (1)
$$(Na+b)c=(Nc+d)a \ \ \iff \ \ ad=bc$$
i.e, if and only if
(case 1) $2$ of them at least are zero (you have given such an example in your question).
(case 2) none of them is zero, we have this proportionality ratio:
$$\frac{b}{d}=\frac{a}{c}$$
which (for case 2!) is a necessary and sufficient condition for a solution.
Remark: The red fractions in (1) have been obtained by using the rule
$$\frac{P}{Q}=\frac{R}{S}=\frac{uP+vR}{uQ+vS}$$
valid for any factors $u,v$, under the condition $uQ+vS \ne 0$ of course.