Active NPI
St Jude Childrens Research Hospital Inc
- Children's Hospital
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- License
- 0000000113
- Legal business name
- ST JUDE CHILDRENS RESEARCH HOSPITAL INC
- Practice address
- 262 Danny Thomas PL
Memphis, TN 38105-3678 - Phone
- (901) 595-3300
- NPI assigned
- May 23, 2005
- Last updated
- Aug 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Papola Megdal
- Title
- Evp & Cao, Interim Cfo
- Phone
- (901) 595-7160
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | 0000000113 | TN | Primary |
| Clinic Pharmacy | 3336C0002X | 843 | TN |
Addresses
Primary practice location
262 Danny Thomas PL
Memphis, TN 38105-3678
Mailing address
262 Danny Thomas PL # Ms 515
Memphis, TN 38105-3678
Phone (901) 595-6863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443302 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101201000186 | TN | Part A Provider - Hospital | 7315133444 | Practice locations: Memphis, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033112230. Details of each certification follow.
Hospital certification: CCN 443302
- Legal name
- ST JUDE CHILDRENS RESEARCH HOSPITAL INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Children’s
- Participating since
- Jul 1, 1984
- Last certification
- Feb 13, 2007
- Beds
- 78
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Feb 1, 1962 in TN
- Enrollment address
- 262 Danny Thomas PL
Memphis, TN 38105-3678 - Hospital subgroups
- Children’s
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Pediatrics Physician
- Memphis, TN
- NPI 1306335088
7315133444
Care Compare: Hospital
Medicare Care Compare- Listed as
- St Jude Childrens Research Hospital
- Type
- Childrens
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider Directory- Tax ID family
- St Jude Children's Research Hospital Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Memphis, TN
- NPI 1144118704
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1164433710
-
- Home Infusion Therapy Pharmacy
- Memphis, TN
- NPI 1407152689
Locations
262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 495-3006
Ownership & related parties
All disclosed owners & managing parties 37
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| George Anthony Simon | Corporate Director | Jul 1, 1991 | |
| Michael D McCoy | Corporate Director | Jul 1, 2009 | |
| Fred Patrick Gattas | Corporate Director | Jul 1, 2009 | |
| Richard C Shadyac | Corporate Director | Jul 1, 2000 | |
| Michael Simon | Corporate Director | Jul 1, 2012 | |
| Robert T Molinet | Corporate Director | Jul 1, 2010 | |
| Joyce Alexis Aboussie | Corporate Director | Jul 1, 1983 | |
| Frederick M Azar | Corporate Director | Jul 1, 2012 | |
| Gabriel Haddad | Corporate Director | Jul 1, 2011 | |
| Ruth Gaviria | Corporate Director | Jul 1, 2013 | |
| Susan Windham-Bannister | Corporate Director | Mar 1, 2019 | |
| Charley Anthony Thomas | Corporate Director | Jul 1, 2000 | |
| Richard Michael Unes | Corporate Director | Jul 1, 1997 | |
| Ramzi N Nuwayhid | Corporate Director | Jul 1, 2011 | |
| Joseph Devivo | Corporate Director | Jul 1, 2016 | |
| Judy Anne Habib | Corporate Director | Jul 1, 2006 | |
| Joseph Salem Ayoub | Corporate Director | Jul 1, 1989 | |
| Thomas Joseph Penn | Corporate Director | Jul 1, 2002 | |
| Paul Joseph Ayoub | Corporate Director | Jul 1, 1992 | |
| Paul Henry Wein | Corporate Director | Jul 1, 1993 | |
| Charles C Hajjar | Corporate Director | Jul 1, 2005 | |
| Robert a Breit | Corporate Director | Jul 1, 1996 | |
| Patricia Alice Keel | Corporate Director | Mar 1, 2016 | |
| W-2 Managing Employee | Apr 20, 2016 | ||
| Camille Francis Sarrouf | Corporate Director | Jul 1, 2003 | |
| Joseph D Karam | Corporate Director | Jul 1, 2015 | |
| Tama Helene Zaydon | Corporate Director | Jul 1, 1998 | |
| Sharon Lorraine McCollum | Corporate Director | Jul 1, 2017 | |
| Frederick Harris | Corporate Director | Jul 1, 2016 | |
| Martha Perine Beard | Corporate Director | Jul 1, 2002 | |
| Fouad Maurice Hajjar | Corporate Director | Jul 1, 2011 | |
| Christina Marie Rashid | Corporate Director | Jul 1, 2017 | |
| Joseph Christopher Shaker | Corporate Director | Jul 1, 2012 | |
| Sheryl Ann Bourisk | Corporate Director | Jul 1, 2009 | |
| James Downing | Corporate Officer | Jun 16, 1986 | |
| W-2 Managing Employee | Jun 16, 1986 | ||
| Joseph George Shaker | Corporate Director | Jul 1, 1991 | |
| Ann Marie Danner Dwyer | Corporate Director | Jul 1, 2010 | |
| Terry Burman | Corporate Director | Jul 1, 2005 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Germantown, TN
- NPI 1821084633
Corporate Director
-
- Gastroenterology Physician
- Germantown, TN
- NPI 1447478755
Corporate Director
-
- Neuroradiology Physician
- Libertyville, IL
- NPI 1922080399
Corporate Director
-
- Pediatric Hematology & Oncology Physician
- Orlando, FL
- NPI 1336190974
Corporate Director
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Jude Childrens Research Hospital Home Care LLC | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jul 7, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Memphis, TN
- NPI 1265036263
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 49
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1316155914
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1316209059
-
- Pediatric Surgery Physician
- Memphis, TN
- NPI 1508869793
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1871970731
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1871755447
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1174054613
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1780868620
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1558704536
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1740579739
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1033115746
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1407028574
-
- Pediatric Hematology & Oncology Physician
- Memphis, TN
- NPI 1356533046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788048000000",
"number": "1033112230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PL # MS 515",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678",
"telephone_number": "901-595-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678",
"telephone_number": "901-595-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JUDE CHILDRENS RESEARCH HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A",
"authorized_official_last_name": "MEGDAL",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "PAPOLA",
"authorized_official_title_or_position": "EVP & CAO, INTERIM CFO",
"authorized_official_telephone_number": "901-595-7160"
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "TN",
"license": "0000000113",
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "TN",
"license": "843",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "443302",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- St Jude Children's Research Hospital
- St Jude Children's Research Hospital, Inc.
- St Jude Children's Research Hospital, Inc.
- St Jude Children's Research Hospital, Inc.
- St Jude Children's Research Hospital, Inc.
- St Peter Villa Inc
- Kerilyn Elizabeth Morales St Pierre, MD
- St. Ann Inhome Care LLC
- Amy L St. Clair, NP
- St. Jude Children's Research Hospital Home Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.