NPIMap

Organization Active NPI

Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
National Provider Identifier
1073605879
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL-811 Issued in SC
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Practice address
169 Ashley Ave
Charleston, SC 29403-5836
Phone
(843) 792-1414
NPI assigned
Sep 29, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Karyn B Rae
Title
Director
Phone
(843) 876-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X HTL-811 SC Primary

Addresses

Primary practice location

169 Ashley Ave
Charleston, SC 29403-5836

Mailing address

PO Box 23319
New York, NY 10087-3319
Phone (843) 792-2311

Other identifiers 2

IdentifierTypeStateIssuer
178277MedicaidSC
160808MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000721 SC Part A Provider - Hospital 1557268950 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073605879. Details of each certification follow.

Hospital certification: CCN 420004

Legal name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
MUSC MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 24, 2024
Beds
713
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
169 Ashley Ave
Charleston, SC 29425-5836
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric, Other

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Musc Medical CenterCCN 420004 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Musc Hospital71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Barbara Johnson Williams Individual Corporate Director Jan 1, 2026
William M Brown Individual Corporate Director Jan 1, 2026
Michael Stavrinakis Individual Corporate Director Jan 1, 2026
Douglas E Lischke Individual W-2 Managing EmployeeAd; Aug 1, 2024 100%
Terri Barnes Individual Corporate Director Jan 1, 2026
Bartlett J Witherspoon Individual Corporate Director Jan 1, 2026
James Lemon Individual Corporate Director Jan 1, 2026
Medical University of South Carolina Organization, Charleston, SC Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2001 100%
Operational/Managerial Control Mar 1, 2019
Sonya Floyd Individual W-2 Managing EmployeeManager Jul 1, 2017 50%
Henry Frederick Butehorn Individual Corporate Director Jan 1, 2026
Karyn Rae Individual Corporate DirectorManged Care Jul 1, 2017 50%
Paul Davis Individual Corporate Director Jan 1, 2026
Patrick J Cawley Individual Corporate OfficerCeo Apr 1, 2013 100%
Charles Castles Individual Corporate Director Jan 1, 2026
Thomas Stephenson Individual Corporate Director Jan 1, 2026
George M Smith Individual Corporate Director Jan 1, 2026
James Battle Individual Corporate Director Jan 1, 2026
Donald Roger Johnson Individual Corporate Director Jan 1, 2026
Charles Schulze Individual Corporate Director Jan 1, 2026
Richard M Christian Individual Corporate Director Jan 1, 2026

Owners & managing parties with NPI records 8

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

Practitioners & affiliated clinicians

Practitioners 288

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.

View all 288

Affiliated clinicians 2,683

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

View all 2,683

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1073605879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23319",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873319",
            "telephone_number": "843-792-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035836",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL-811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178277",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160808",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.