NPIMap

Organization Active NPI

Upmc Children's Hospital of Pittsburgh

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1053476556
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
291201 Issued in PA
Legal business name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Practice address
4401 Penn Ave
Pittsburgh, PA 15224
Phone
(412) 432-7469
NPI assigned
Dec 26, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Mario Wilfong
Title
Cfo
Phone
(412) 692-5013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 291201 PA Primary

Addresses

Primary practice location

4401 Penn Ave
Pittsburgh, PA 15224

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15251-8007
Phone (412) 623-6303

Other identifiers 3

IdentifierTypeStateIssuer
1007347990060MedicaidPA
000000056144OtherPAUNISON HEALTH PLAN
000000056144OtherPAUNISON CHIP

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL uconnect.upmc.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000659 PA Part A Provider - Hospital 3173417102 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sewickley, PA; Pittsburgh, PA; Monroeville, PA; Washington, PA; Bridgeville, PA; Wexford, PA; McMurray, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053476556. Details of each certification follow.

Hospital certification: CCN 393302

Legal name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jul 1, 1984
Last certification
Nov 21, 2007
Beds
312
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 1887 in PA
Enrollment address
4401 Penn Ave
Pittsburgh, PA 15224-1334
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc Children's Hospital of PittsburghCCN 393302 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp Lab PGH19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

1500 Oxford Dr
Bethel Park, PA 15102
Phone (412) 692-3441

205 Millers Run Rd
Bridgeville, PA 15017
Phone (412) 692-3145

3420 5th Ave
Pittsburgh, PA 15213
Phone (412) 692-6000

4117 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-6936

600 Grant St Us Steel Tower 59th
Pittsburgh, PA 15251

2619 Wexford Bayne Rd
Sewickley, PA 15143
Phone (724) 934-1156

1907 Lebanon Church Rd
Ste 100
West Mifflin, PA 15122
Phone (412) 692-7080

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Howard Hanna Individual Corporate DirectorBoard Member Oct 31, 2001
Laurence E Paul Individual Corporate DirectorBoard Member Jan 1, 2026
Meron Yemane Individual Corporate DirectorBoard Member Sep 20, 2022
Andrew R Buchert Individual Corporate DirectorBoard Member, Non-Voting Apr 1, 2025
Gregory J Weimer Individual Corporate DirectorBoard Member Jan 1, 2026
Clifford R Rowe Individual Corporate DirectorBoard Member Jun 1, 2020
Arthur Gabriel Individual Corporate DirectorBoard Member Sep 1, 2024
Leslie Davis Individual Corporate DirectorBoard Member Jul 1, 2014
Diane Hupp Individual Corporate DirectorHospital President, Non Voting Mar 8, 2015
Kavitha a Conti Individual Corporate DirectorBoard Member, Non-Voting Jun 30, 2025
Leslie Braksick Individual Corporate DirectorBoard Member Oct 31, 2001
Bryan Kern Individual Corporate DirectorBoard Member Dec 1, 2024
Douglas Dick Individual Corporate DirectorChairperson Oct 31, 2001
Mark Snyder Individual Corporate DirectorBoard Member Dec 1, 2024
Dorothy Pollon Individual Corporate DirectorBoard Member Sep 10, 2019
Anantha Shekhar Individual Corporate DirectorBoard Member Jun 1, 2020
Upmc Organization, Pittsburgh, PA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 31, 2001 100%
John Staley Individual Corporate DirectorBoard Member Jul 1, 2019
Kevin P Mollen Individual Corporate DirectorBoard Member, Non-Voting Jan 1, 2024
Vanessa Morehouse Individual Corporate DirectorBoard Member Jun 1, 2020
Terrence S Dermody Individual Corporate DirectorBoard Member, Non-Voting Jun 7, 2016
Mario Wilfong Individual Corporate OfficerCfo / Treasurer Sep 10, 2019
W-2 Managing EmployeeCfo Sep 10, 2019

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

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.

Affiliated clinicians 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1053476556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152518007",
            "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": "4401 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-432-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC CHILDREN'S HOSPITAL OF PITTSBURGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "WILFONG",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-692-5013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "291201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007347990060",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000056144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON CHIP",
            "identifier": "000000056144",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uconnect.upmc.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.552.100.2.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.