The Pennsylvania Hospital of the University of Pennsylvania Health Sys
Organization Active NPI General Acute Care Hospital · Phila, PA
NPI 1063489342 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1063489342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
- Practice address
- 800 Spruce St
Phila, PA 19107-6130 - Phone
- (215) 796-4640
- Fax
- (609) 770-7792
- NPI assigned
- Mar 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas McCormick Jr.
- Title
- Avp Finance
- Phone
- (215) 796-4640
Owners & managing parties with NPI records 16
-
Allen H Bar, MD
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 3
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 14
Practitioners 152
-
Annabelle Abdo, DO
-
Tawia Ahwirema Apenteng, M.D.
-
Amber Batool, DO
-
Nicole T. Bavuso, MD
-
Joshua I Bleier, MD
-
Alexander Remy Bonnel, M.D.
-
Rita G Borromeo, MD
-
Ari D Brooks, MD
-
Iahn Cajigas, M.D, PH.D.
-
Kodiak Carb, MD
-
David Casper, M.D.
-
Sarah Coggins, M.D.
-
Noah M Cook, MD
-
Colin A Craft, M.D.
-
Christina M Dave, MD
-
Erika Dennis, M.D.
-
Mark Stephen Diamond, M.D., PH.D.
-
Jennifer Dorsch, MD
Affiliated clinicians 1,764
-
Whitley Aamodt, M.D.
-
Albert Abbo, CRNP
-
Soo H Abboud, MD
-
Annabelle Abdo, DO
-
Nawar D Abdul Latif, M.D.
-
Sarah Abdulla, MD
-
Monica Marie Aber, CRNP
-
Faten N Aberra, MD
-
Abia Abia, MD
-
Benjamin A Abramoff, M.D.
-
Morgan Adams, APRN, CRNA
-
Leslie Adeoye, CRNP
-
Ritu Aggarwal, MD
-
Kelly Patricia Agnew, PA-C
-
Lindsay Agostinelli, MD, PHD
-
Ann J Aharon, CRNP
-
Raza Ahmad, MD
-
Syed Waqas Ahmad, DO
-
Intekhab Ahmed, M.D.
-
Elias Akl, M.D.
Medicare Care Compare: Hospital
- Listed as
- Pennsylvania Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospital certification: CCN 390226
- Legal name
- THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 26, 2018
- Beds
- 475 (380 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Oct 31, 1997 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 30, 1997 in PA
- Enrollment address
- 800 Spruce St
Philadelphia, PA 19107-6130 - Hospital subgroups
- Acute care, Psychiatric unit, Other
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Julia Puchtler |
Corporate Director |
Jul 1, 2024 | |
| Allen Herbert Bar |
Corporate Director |
Jun 11, 2008 | |
| Trustees of the University of Pennsylvania |
5% Or Greater Direct Ownership Interest | Apr 30, 1997 | 100% |
| Michele Volpe |
Corporate Director |
Sep 1, 2022 | |
| Kevin B Mahoney |
Corporate Director |
Jun 6, 2006 | |
| Thomas Sharbaugh |
Corporate Director |
May 4, 2011 | |
| Kathy Killian |
Corporate Director |
Jan 1, 2022 | |
| Alicia Gresham |
Corporate Officer |
Jan 2, 2024 | |
| Corporate Director | Jan 2, 2024 | ||
| Melissa L Zak |
Corporate Director |
Jun 8, 2023 | |
| Jill Roberts |
Corporate Director |
Jan 1, 2022 | |
| Theresa Larivee |
Corporate Director |
Nov 1, 2014 | |
| The Pennsylvania Hospital of the University of Pennsylvania Health Sys |
Operational/Managerial Control | Apr 30, 1997 | |
| Thomas McCormick |
W-2 Managing Employee | Jun 28, 2001 | |
| Michael Rossi |
W-2 Managing Employee | Oct 1, 2006 | |
| Lindsay Ayling |
Corporate Officer |
Dec 28, 2023 | |
| W-2 Managing Employee |
Dec 28, 2023 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| The Pennsylvania Hospital of the University of Pennsylvania Health Sys |
Hospital | Operational/Managerial Control | Apr 30, 1997 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080117000163 | PA | Part a Provider - Hospital | 6305927229 | Practice locations: Philadelphia, PA |
National Provider Directory
Locations
1840 South St
Fl 5
Philadelphia, PA 19146
Phone (215) 893-6200
700 Spruce St
Ste 304
Philadelphia, PA 19106
Phone (215) 829-3521
801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396
700 Spruce St
Fl 4
Philadelphia, PA 19106
Phone (215) 829-5725
800 Walnut St
Fl 8
Philadelphia, PA 19107
Phone (215) 829-5638
230 W Washington Sq
Philadelphia, PA 19106
Phone (215) 829-5064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
800 Spruce St
Phila, PA 19107-6130
Mailing address
1500 Market St
Upper Mezzenine 600
Philadelphia, PA 19102-2100
Phone (215) 796-4640
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000049150010 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
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All providers in Phila, PA · General Acute Care Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.