Organization Active NPI

St Jude Childrens Research Hospital Inc

  • Children's Hospital
  • Memphis, TN
National Provider Identifier
1033112230
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
0000000113 Issued in TN
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
443302MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Incorporated
Feb 1, 1962 in TN
Enrollment address
262 Danny Thomas PL
Memphis, TN 38105-3678
Main/Primary Hospital Location
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).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Jude Childrens Research HospitalCCN 443302 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
St Jude Children's Research Hospital Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
George Anthony Simon Individual Corporate DirectorMember Jul 1, 1991
Michael D McCoy Individual Corporate DirectorMember Jul 1, 2009
Fred Patrick Gattas Individual Corporate DirectorMember Jul 1, 2009
Richard C Shadyac Individual Corporate Director Jul 1, 2000
Michael Simon Individual Corporate DirectorMember Jul 1, 2012
Robert T Molinet Individual Corporate DirectorMember Jul 1, 2010
Joyce Alexis Aboussie Individual Corporate DirectorMember Jul 1, 1983
Frederick M Azar Individual Corporate DirectorMember Jul 1, 2012
Gabriel Haddad Individual Corporate DirectorMember Jul 1, 2011
Ruth Gaviria Individual Corporate DirectorMember Jul 1, 2013
Susan Windham-Bannister Individual Corporate DirectorMember Mar 1, 2019
Charley Anthony Thomas Individual Corporate DirectorMember Jul 1, 2000
Richard Michael Unes Individual Corporate DirectorChair/President, Alsac Bod Jul 1, 1997
Ramzi N Nuwayhid Individual Corporate DirectorMember Jul 1, 2011
Joseph Devivo Individual Corporate Director Jul 1, 2016
Judy Anne Habib Individual Corporate DirectorMember Jul 1, 2006
Joseph Salem Ayoub Individual Corporate DirectorMember Jul 1, 1989
Thomas Joseph Penn Individual Corporate DirectorMember Jul 1, 2002
Paul Joseph Ayoub Individual Corporate DirectorFirst Vice Chair, Alsac Bod Jul 1, 1992
Paul Henry Wein Individual Corporate DirectorMember Jul 1, 1993
Charles C Hajjar Individual Corporate DirectorMember Jul 1, 2005
Robert a Breit Individual Corporate DirectorMember Jul 1, 1996
Patricia Alice Keel Individual Corporate DirectorSVP/Cfo Mar 1, 2016
W-2 Managing Employee Apr 20, 2016
Camille Francis Sarrouf Individual Corporate DirectorChair, SJ BD of Gov Jul 1, 2003
Joseph D Karam Individual Corporate Director Jul 1, 2015
Tama Helene Zaydon Individual Corporate DirectorMember Jul 1, 1998
Sharon Lorraine McCollum Individual Corporate DirectorMember Jul 1, 2017
Frederick Harris Individual Corporate Director Jul 1, 2016
Martha Perine Beard Individual Corporate DirectorMember Jul 1, 2002
Fouad Maurice Hajjar Individual Corporate DirectorMember Jul 1, 2011
Christina Marie Rashid Individual Corporate DirectorMember Jul 1, 2017
Joseph Christopher Shaker Individual Corporate DirectorMember Jul 1, 2012
Sheryl Ann Bourisk Individual Corporate DirectorMember Jul 1, 2009
James Downing Individual Corporate OfficerCeo Jun 16, 1986
W-2 Managing Employee Jun 16, 1986
Joseph George Shaker Individual Corporate DirectorMember Jul 1, 1991
Ann Marie Danner Dwyer Individual Corporate Director Jul 1, 2010
Terry Burman Individual Corporate DirectorChair/President SJ Board of Gov. 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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Jude Childrens Research Hospital Home Care LLCMemphis, TN, CCN 447824 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.

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.

View all 49

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

Sources for this page

Verify at the official NPI Registry.