Organization Active NPI

University Hospitals Cleveland Medical Center

  • Psychiatric Hospital Unit
  • Cleveland, OH
National Provider Identifier
1053944967
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Practice address
5805 Euclid Ave Ste 100
Cleveland, OH 44103-3715
Phone
(216) 844-3971
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Anthony Schillero
Title
Director, FP&a
Phone
(216) 767-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

5805 Euclid Ave Ste 100
Cleveland, OH 44103-3715

Mailing address

PO Box 772930
Detroit, MI 48277-2930
Phone (216) 844-3971

Other names 1

  • University Hospitals Rainbow Babies & Childrens Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000693 OH Part A Provider - Hospital 3274431879 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH; Willoughby, OH; Westlake, OH; Solon, OH; Medina, OH; Beachwood, OH

Hospital certification: CCN 363302

Legal name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Doing business as
UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDREN¿S
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Sep 14, 2019
Beds
244
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1953 in OH
Enrollment address
11100 Euclid Avenue
Mailstop MSC 9150
Cleveland, OH 44106-1716
Other Hospital Practice Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Rainbow Babies and Childrens HospitalCCN 363302
Type
Childrens
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

5805 Euclid Ave
Ste 100
Cleveland, OH 44103
Phone (216) 286-6876

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
University Hospitals Health System Inc Organization, Shaker Heights, OH Chain home office Operational/Managerial Control Jan 1, 1986 100%
Michelle Gallucci Individual Corporate Officer Jul 10, 2025
Marissa G Kiefer Individual W-2 Managing EmployeePresident Jun 1, 2025
Cliff Andrew Megerian Individual Corporate OfficerPresident and Ceo Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1053944967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772930",
            "telephone_number": "216-844-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 EUCLID AVE STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033715",
            "telephone_number": "216-844-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SCHILLERO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR, FP&A",
        "authorized_official_telephone_number": "216-767-8141"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "University Hospitals Rainbow Babies & Childrens Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Hospitals Rainbow Babies & Childrens Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.