NPIMap

Organization Active NPI

Lutheran Hospital

  • Psychiatric Hospital Unit
  • Cleveland, OH
National Provider Identifier
1003854951
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
1149 Issued in OH
Legal business name
LUTHERAN HOSPITAL
Practice address
1730 W 25TH St
Cleveland, OH 44113-3108
Phone
(216) 696-4300
NPI assigned
Jun 3, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 1149 OH Primary

Addresses

Primary practice location

1730 W 25TH St
Cleveland, OH 44113-3108

Mailing address

6801 Brecksville Rd
Suite 20, Attn: DPC RK2-7
Independence, OH 44131-5062

Other identifiers 4

IdentifierTypeStateIssuer
000000074006OtherANTHEM
0064535OtherAETNA
100135OtherKAISER
5381656OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110803000317 OH Part A Provider - Hospital 2466358387 1 other NPI on this enrollment
Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003854951. Details of each certification follow.

Hospital certification: CCN 36S087

Legal name
LUTHERAN HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 26, 1896 in OH
Enrollment address
1730 W 25TH St
Cleveland, OH 44113-3108
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Networks

  • OH PPO

Ownership & related parties

All disclosed owners & managing parties 43

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Weinberg Individual Corporate DirectorDirector May 4, 2015
Marianne Crosley Individual Corporate DirectorBoard of Directors- Director Jul 1, 2024
Deborah Crawford Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Marcia Ballinger Individual Corporate DirectorBoard of Directors- Director Jan 1, 2025
Catherine M. Kilbane Individual Corporate DirectorDirector - Board of Directors May 6, 2019
Dan Schulman Individual Corporate Director Feb 28, 2022
Beth Mooney Individual Corporate OfficerChair, Board of Directors May 6, 2019
Corporate Director Sep 9, 2013
Melinda Rich Individual Corporate DirectorBoard of Directors- Director Dec 13, 2021
The Cleveland Clinic Foundation Organization, Cleveland, OH Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 1997
Operational/Managerial Control Mar 1, 1997
Spencer Kowal Individual Corporate OfficerChief Financial Officer Dec 3, 2025
Betty Kemper Individual Corporate DirectorDirector - Board of Directors Aug 3, 2020
Mark Ross Individual Corporate DirectorBoard of Directors- Director Oct 3, 2022
Doreen Meredith Individual W-2 Managing EmployeeDepartment Analyst II Aug 24, 2015
Dennis L Laraway Individual Corporate OfficerChief Financial Officer Mar 13, 2023
Carole Hoover Individual Corporate Director Sep 9, 2013
Stewart Kohl Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Bonnie Gwin Individual Corporate DirectorBoard of Directors- Director Feb 27, 2023
Hiroyuki Fujita Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Larry Pollock Individual Corporate Director Sep 9, 2013
Richard J. Kramer Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Tomislav Mihaljevic Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Michael Petras Individual Corporate DirectorDirector Jun 6, 2016
Mark P Malloy Individual Corporate OfficerRegional Cfo, Oh and Treasurer Sep 10, 2020
Stephanie Santin Individual W-2 Managing EmployeeDepartment Analyst II Mar 1, 2024
Jessica McArdle Individual W-2 Managing EmployeeDepartment Analyst I Dec 1, 2023
Timothy R Barnett Individual W-2 Managing EmployeePresident and Chief Medical Officer Feb 17, 2021
John Waldron Individual Corporate DirectorBoard of Directors- Director Feb 1, 2021
Jorge Alberto Guzman Individual Corporate DirectorBoard of Directors- Director Jul 1, 2024
Albert Salvatore Individual Corporate DirectorDirector - Board of Directors Mar 2, 2021
Thomas Paumier Individual Corporate DirectorBoard of Directors- Director Feb 1, 2024
Lorraine Vega Individual Corporate DirectorDirector Jan 1, 2016
Pamela Miller Individual Corporate DirectorDirector Sep 9, 2013
Alex Gorsky Individual Corporate DirectorBoard of Directors- Director Jun 17, 2024
Heidi Sathre Individual W-2 Managing EmployeeProvider Enrollment Auditor Aug 19, 2016
Michael E. Maroone Individual Corporate DirectorDirector - Board of Directors Feb 4, 2019
Beri M Ridgeway Individual Corporate DirectorDirector - Board of Directors Jan 1, 2021
Mark Lerner Individual Corporate DirectorDirector Nov 1, 2015
Rachel Byrnes Individual W-2 Managing EmployeeDepartment Analyst II Jun 1, 2022
Frederick Nance Individual Corporate Director Sep 9, 2013
Dragana Rodic Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Patricia a Warther Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Robert Oblander Individual Corporate OfficerAssistant Secretary Apr 12, 2016
Umberto Fedeli Individual Corporate Director Sep 9, 2013

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1003854951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 20, ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-696-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0064535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5381656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.