NPIMap

Organization Active NPI

Upmc Somerset

  • Medicare Defined Swing Bed Hospital Unit
  • Somerset, PA
National Provider Identifier
1053424978
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
UPMC SOMERSET
Practice address
225 S Center Ave
Somerset, PA 15501-2033
Phone
(814) 443-5221
Fax
(814) 443-4937
NPI assigned
Aug 16, 2006
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mr. Andrew RushNPI 1134332927
Title
Ceo
Phone
(814) 443-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X PA Primary

Addresses

Primary practice location

225 S Center Ave
Somerset, PA 15501-2033

Mailing address

PO Box 645819
Pittsburgh, PA 15264-5819
Phone (814) 443-5221

Other names 1

  • SWING BED Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061019000121 PA Part A Provider - Hospital 1355235144 Practice locations: Somerset, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053424978. Details of each certification follow.

Hospital certification: CCN 39U039

Legal name
UPMC SOMERSET
Organization structure
CorporationNon-profit
Incorporated
Jan 3, 1921 in PA
Enrollment address
225 S Center Ave
Somerset, PA 15501-2033
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Somerset Comm Hosp8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 13

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 May 24, 2018
W-2 Managing EmployeeHospital President May 28, 2018
Mark Bower Individual Corporate DirectorVice Chair, Voting Jan 1, 2013
Jayesh B Desai Individual Corporate OfficerBoard Member Jan 1, 2014
Corporate Director Feb 1, 2019
Tom K Skelton Individual Corporate OfficerSecretary Jan 1, 2016
Corporate DirectorSecretary Jan 1, 2016
Richard John Wadas Individual Corporate DirectorBoard Member Jan 1, 2013
Monica Klatt Individual Corporate OfficerCfo May 1, 2022
W-2 Managing EmployeeCfo May 11, 2022
David a Finui Individual Corporate OfficerBoard Member Jul 1, 2024
David Landon Burwell Individual Corporate DirectorBoard Member Feb 1, 2019
David P Gibbons Individual Corporate DirectorBoard Member Jan 1, 2024
Harold G Ashcraft Individual Corporate OfficerEx-Officio May 11, 2022
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Mark F Yaros Individual Corporate DirectorBoard Member Jan 1, 2014
Krista Mathias Individual Corporate DirectorBoard Chair Jan 1, 2013

Owners & managing parties with NPI records 5

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

Facilities with the same owner 63

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

View all 63

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1053424978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645819",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645819",
            "telephone_number": "814-443-5221",
            "fax_number": "814-443-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012033",
            "telephone_number": "814-443-5221",
            "fax_number": "814-443-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC SOMERSET",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-443-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWING BED",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SWING BED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.