NPIMap

Organization Active NPI

Upmc Northwest

  • Rehabilitation Hospital Unit
  • Seneca, PA
National Provider Identifier
1104909837
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
151001 Issued in PA
Legal business name
UPMC NORTHWEST
Practice address
100 Fairfield Dr
Seneca, PA 16346-2130
Phone
(814) 676-7600
Fax
(814) 677-1410
NPI assigned
Oct 24, 2006
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. Brad Dinger
Title
President
Phone
(814) 877-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 151001 PA Primary

Addresses

Primary practice location

100 Fairfield Dr
Seneca, PA 16346-2130

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 2

IdentifierTypeStateIssuer
1007757910059MedicaidPA
0953OtherPABLUE CROSS

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL uconnect.upmc.com Other
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071210000226 PA Part A Provider - Hospital 4789663774 Practice locations: Seneca, PA

Hospital certification: CCN 39T091

Legal name
UPMC NORTHWEST
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1992 in PA
Enrollment address
100 Fairfield Dr
Seneca, PA 16346-2130
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Upmc NorthwestCCN 39T091 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1986

National Provider Directory

National Provider Directory
Tax ID family
NW Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in 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
Joseph Pastor Individual Corporate Director Jan 1, 2017
Tamara Varsek Individual Corporate Director Jan 1, 2017
Lisa Smith Individual OtherAssistant Secretary Apr 30, 2018
Jeffrey Clark Individual Corporate Director Jan 30, 2018
Beth Harman Individual Corporate DirectorSecretary Jan 30, 2018
Marshall Webster Individual Corporate Director Jul 25, 2016
Christopher Simms Individual Corporate Director Jan 1, 2023
David P Gibbons Individual Corporate Director Mar 2, 2009
William McCauley Individual Corporate DirectorChairman Sep 1, 2007
Bart L Matson Individual Corporate Officer Jan 1, 2024
Peter Winkler Individual Corporate Director Jan 1, 2022
Bradley Dinger Individual Corporate OfficerCfo/Treasurer Jun 19, 2018
W-2 Managing Employee Jun 19, 2018
Linda Barnhart Individual Corporate Director Jul 1, 2018
Janet Stewert Individual Corporate Director Jan 1, 2024
James Knarr Individual Corporate Director Jan 1, 2001
Jeff Steigerwald Individual Corporate Director Jan 1, 2024
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1986
Brian P Durniok Individual Corporate OfficerPresident Feb 7, 2017
Randy M Boggess Individual Corporate Director Jan 1, 2011
Gregory Merkel Individual Corporate Director Jan 1, 2017

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwest Medical CenterSeneca, PA, CCN 395966 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Jun 2, 2009
Jan 3, 2025
Jun 2, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Upmc Northwest
    • Skilled Nursing Facility
    • Seneca, PA
    • NPI 1396833778

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest

    CMS ownership

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1104909837",
    "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": "152192740",
            "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": "100 FAIRFIELD DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462130",
            "telephone_number": "814-676-7600",
            "fax_number": "814-677-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-3739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "151001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007757910059",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0953",
            "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 Fairfield Dr",
            "city": "Seneca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163462130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.