NPIMap

Organization Active NPI

Mount St. Mary's Hospital of Niagara Falls

Doing business as Mount St. Mary's Hospital and Health Center

  • General Acute Care Hospital
  • Lewiston, NY
National Provider Identifier
1043394745
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3121001H Issued in NY
Legal business name
MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS
Doing business as
Mount St. Mary's Hospital and Health Center
Practice address
5300 Military Rd
Lewiston, NY 14092-1903
Phone
(716) 298-2081
Fax
(716) 298-2112
NPI assigned
Oct 25, 2006
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
David P Macholz
Title
Cfo
Phone
(716) 862-2430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X
General Acute Care Hospital 282N00000X 3121001H NY Primary

Addresses

Primary practice location

5300 Military Rd
Lewiston, NY 14092-1903

Mailing address

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 298-2081

Other identifiers 4

IdentifierTypeStateIssuer
00011413101OtherNYUNIVERA - EXCELLUS
H4OtherNYINDEPENDENT HEALTH
000000022000OtherNYBLUE CROSS
01746616MedicaidNY

Other names 1

  • Mount St. Mary's Hospital and Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040403000031 NY Part B Supplier - Clinic/Group Practice 4082523790 Receives reassigned benefits from 364 practitioners
2 other NPIs on this enrollment
Practice locations: Lockport, NY; Niagara Falls, NY; Lewiston, NY
O20061208000085 NY Part A Provider - Hospital 4082523790 Practice locations: Niagara Falls, NY; Lockport, NY; Lewiston, NY
O20260115000957 NY Part B Supplier - Intensive Cardiac Rehabilitation 4082523790 Practice locations: Lewiston, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043394745. Details of each certification follow.

Hospital certification: CCN 330188

Legal name
MOUNT ST. MARYS HOSPITAL OF NIAGARA FALLS
Doing business as
MOUNT ST MARYS HOSPITAL AND HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 12, 2024
Beds
179
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1966 in NY
Enrollment address
5300 Military Rd
Lewiston, NY 14092-1903
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mount St. Mary's Hospital & Health CenterCCN 330188 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

5300 Military Rd
#2
Lewiston, NY 14092

5320 Military Rd
Ste 107
Lewiston, NY 14092
Phone (716) 297-1701

3003 9th St
Niagara Falls, NY 14305
Phone (716) 284-8917

3101 9th St
Niagara Falls, NY 14305
Phone (716) 284-8917

6941 Elaine Dr
Niagara Falls, NY 14304
Phone (716) 282-2041

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
David P Macholz Individual Corporate DirectorChief Financial Officer Jun 1, 2011
Catholic Health System Organization, Buffalo, NY Non-profit Operational/Managerial Control Jan 1, 1998 100%
Alexis Agnello Individual Corporate DirectorBoard Director Jan 1, 2020
Georgiana Ford Individual Corporate DirectorBoard Director Jan 1, 2020
Kevin Keenan Individual Corporate DirectorBoard Member Jan 1, 2020
Robert E Zapfel Individual Corporate DirectorBoard Member Jun 1, 2011
Russell Edwards Individual Corporate DirectorBoard Director Jan 1, 2020
W-2 Managing Employee Jan 1, 2020
Katherine Vanderhorst Individual Corporate DirectorBoard Member Jan 1, 2020
Michael S Gough Individual Corporate DirectorBoard Director Jan 1, 2020
Leonardo Sette-Camara Individual Corporate DirectorBoard Member Jan 1, 2020
Ellen E Grant Individual Corporate DirectorBoard Director Jan 1, 2020
Mark Sullivan Individual Corporate DirectorBoard Member Jun 1, 2011
Carol Heckman Individual Corporate DirectorBoard Member Jan 1, 2020
Thomas Gleason Individual Corporate DirectorBoard Director Jan 1, 2020

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 384

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 384

Affiliated clinicians 468

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 468

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1043394745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903",
            "telephone_number": "716-298-2081",
            "fax_number": "716-298-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921903",
            "telephone_number": "716-298-2081",
            "fax_number": "716-298-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "MACHOLZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-862-2430"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "3121001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA - EXCELLUS",
            "identifier": "00011413101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "H4",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000022000",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01746616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount St. Mary's Hospital and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.