NPIMap

Organization Active NPI

Upmc McKeesport

  • Substance Use Disorder Rehabilitation Hospital Unit
  • McKeesport, PA
National Provider Identifier
1043703531
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
707299 Issued in PA
Legal business name
UPMC MCKEESPORT
Practice address
1500 5TH Ave
McKeesport, PA 15132-2422
Phone
(412) 664-2000
NPI assigned
Jun 11, 2018
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Laurene Timmons
Title
Cfo
Phone
(412) 664-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 707299 PA Primary

Addresses

Primary practice location

1500 5TH Ave
McKeesport, PA 15132-2422

Mailing address

600 Grant St, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 1

IdentifierTypeStateIssuer
707299OtherPACERITIFCATE OF COMPLIANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000102 PA Part A Provider - Hospital 7810891157 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McKeesport, PA; White Oak, PA; Uniontown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043703531. Details of each certification follow.

Hospital certification: CCN 390002

Legal name
UPMC MCKEESPORT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 4, 2022
Beds
198 (175 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1998 in PA
Enrollment address
1500 Fifth Avenue
Acute Hospital & Spu
McKeesport, PA 15132-2422
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc McKeesport HospitalCCN 390002 · All quality measures
Overall star rating
3 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
Tax ID family
Upmc McKeesport3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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
Andrew G Rush Individual Corporate OfficerHospital President Oct 4, 2024
W-2 Managing EmployeeHospital President Oct 4, 2024
Rebecca McHolme Individual Corporate DirectorCo-Chairperson Jun 1, 2016
Kotayya E Kondaveeti Individual Corporate DirectorBoard Member Jul 1, 2011
Robert Voinchet Individual Corporate DirectorBoard Member May 12, 2011
Sean Logan Individual Corporate DirectorCo-Chairperson May 12, 2011
Rogi Paul Individual Corporate DirectorBoard Member Jul 1, 2024
Anthony Braun Individual Corporate DirectorBoard Member Feb 14, 2025
P Dafe Ogagan Individual Corporate DirectorBoard Member Sep 4, 2023
Marc E Cordero Individual Corporate DirectorBoard Member Sep 4, 2023
Joel Philip Yuhas Individual Corporate DirectorBoard Member Aug 25, 2023
Irving Latterman Individual Corporate DirectorAd-Hoc, Non Voting Jan 1, 2018
Laurene Timmons Individual Corporate OfficerSecretary/Treasurer Oct 1, 2016
W-2 Managing Employee Oct 1, 2016
Upmc Organization, Pittsburgh, PA Operational/Managerial Control Nov 4, 2008
Abdulrab Aziz Individual Corporate DirectorBoard Member Jul 1, 2022

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 235

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

View all 235

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1043703531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT ST, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 5TH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-664-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC MCKEESPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "LAURENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-664-6781"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "PA",
            "license": "707299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERITIFCATE OF COMPLIANCE",
            "identifier": "707299",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1500 5th Ave",
            "city": "McKeesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151322422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.