Upmc Altoona
Organization Active NPI Ambulatory Surgical Clinic/Center · Altoona, PA
NPI 1114926953 · NPPES record last updated Oct 21, 2020
Key facts
- NPI
- 1114926953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- UPMC ALTOONA
- Practice address
- 620 Howard Ave.
Altoona, PA 16601-4899 - Phone
- (814) 889-2223
- Fax
- (814) 889-7808
- NPI assigned
- Jul 14, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- ALTOONA REGIONAL HEALTH SYSTEM
Authorized official
- Name
- Monica Klatt
- Title
- Cfo
- Phone
- (814) 889-2223
Owners & managing parties with NPI records 4
-
David Grant Baer, MD
-
Matthew E Newlin, MD
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 17
Practitioners 424
-
Veronica Andrews, MD
-
Leila S Arani, MD
-
Godson Asamoa, MD
-
Bartu Avci, M.D.
-
Jeffrey Martin Aversa, M.D.
-
David Grant Baer, MD
-
Salim Baghli, MD
-
Jaspreet Singh Bains, M.D.,
-
Loni Baird, PA-C
-
Katie M Baker, M.M.S., PA-C
-
Kurtavious V Ball Sr., M.M.C, PA-C
-
Liang R. Bartkowiak, M.D.
Affiliated clinicians 810
-
Elizabeth Ann Abraham, CRNP
-
Lauri J Adler, MD
-
Vikas Agarwal, MD
-
Nidhi Aggarwal, M.D.
-
Rohit Aggarwal, M.D.
-
Shabbir Ahmad, M.D.
-
Natalie Aikens, PA-C
-
Navid Ajabshir, M.D.
-
Aderonke Ajala, MD
-
Evan Tatsuya Alicuben, M.D.
-
Ikbal Alkhafaji, MD
-
Rajih A. Alkhafaji, M.D.
-
Brooke Alleman, CRNP
Medicare Care Compare: Hospital
- Listed as
- Upmc Altoona
- Overall star rating
- ★★★☆☆ 3 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 390073
- Legal name
- UPMC ALTOONA
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 18, 2024
- Beds
- 398 (349 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 26, 1883 in PA
- Enrollment address
- 620 Howard Ave
Altoona, PA 16601-4804 - Hospital subgroups
- General, Acute care, Psychiatric
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Brian Grabill |
Corporate Director |
Jul 1, 2021 | |
| Philip L Freeman |
Corporate Director |
Jul 1, 2021 | |
| Donald M Yealy |
Corporate Director |
Jul 1, 2021 | |
| Matthew Evans Newlin |
Corporate Director |
Dec 17, 2020 | |
| Mathew Stuckey |
Corporate Director |
Dec 17, 2020 | |
| Robert Montler |
Corporate Director |
Jul 1, 2013 | |
| Michael Corso |
W-2 Managing Employee |
Aug 1, 2024 | |
| Bernard L Creppage |
Corporate Officer |
Jul 1, 2021 | |
| Corporate Director |
Jul 1, 2021 | ||
| Monica Klatt |
Corporate Officer |
Sep 29, 2019 | |
| W-2 Managing Employee |
Sep 29, 2019 | ||
| Alissa Laird |
Corporate Officer |
Mar 1, 2024 | |
| David P Gibbons |
Corporate Director |
Jan 1, 2024 | |
| Andrew Ritchie |
Corporate Director |
Jul 1, 2025 | |
| David G Baer |
Corporate Director |
Jun 15, 2017 | |
| John Blackburn |
Corporate Director |
Dec 1, 2014 | |
| James Hogg Vreeland |
Corporate Director |
Jul 1, 2021 | |
| Ann Benzel |
Corporate Director |
Jul 1, 2013 | |
| Upmc |
5% Or Greater Direct Ownership Interest | Jul 1, 2013 | 100% |
| Karen Pfeffer |
Corporate Director |
Jul 1, 2013 | |
| James Drenning |
Corporate Director |
Dec 17, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050620000603 | PA | Part a Provider - Hospital | 8426962465 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Altoona, PA; Williamsburg, PA; Johnstown, PA; Hollidaysburg, PA; Ebensburg, PA |
National Provider Directory
- Tax ID family
- Altoona Hospital Oncolo
- Part of
- Altoona Hospital Oncolo
Locations
800 Howard Ave
Ste 1
Altoona, PA 16601
Phone (814) 889-2708
501 Howard Ave
Bldg F
Altoona, PA 16601
Phone (814) 889-2012
800 Chestnut Ave
Altoona, PA 16601
Phone (814) 946-2845
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | PA | Yes | |
| Emergency Care Clinic/Center | 261QE0002X | PA | ||
| General Acute Care Hospital | 282N00000X | PA |
Addresses
Primary practice location
620 Howard Ave.
Altoona, PA 16601-4899
Mailing address
600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (814) 889-2223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007278290084 | Medicaid | PA | |
| 1007278290077 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UPMCHospitals@upmcdirect.com | Health Information Exchange (HIE) |
Other providers in Altoona, PA
- University of Pittsburgh Physicians
- University Orthopedics Center
- University Orthopedics Center, LTD
- University Orthopedics Center, LTD.
- Carolyn S. Updike
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona
- Upmc Altoona
All providers in Altoona, PA · Ambulatory Surgical Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2020. 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.