Active NPI
Upmc Lititz
- Ambulatory Surgical Clinic/Center
- Lititz, PA
National Provider Identifier
1144755091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UPMC LITITZ
- Practice address
- 1500 Highlands Dr
Lititz, PA 17543-7694 - Phone
- (717) 625-5670
- NPI assigned
- Apr 28, 2017
- Last updated
- Jul 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrice A Taleff
- Title
- VP, Revenue Cycle
- Phone
- (717) 230-3790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1500 Highlands Dr
Lititz, PA 17543-7694
Mailing address
1500 Highlands Dr
Lititz, PA 17543-7694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103355781 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170530002186 | PA | Part A Provider - Hospital | 3375810021 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lititz, PA; Lancaster, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144755091. Details of each certification follow.
Hospital certification: CCN 390068
- Legal name
- UPMC LITITZ
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 3, 2023
- Beds
- 148 (127 certified)
- Ownership / control type
- Other
- Most recent change of ownership
- Jul 1, 2017 (4 total)
- Organization structure
- Corporation
- Enrollment address
- 1500 Highlands Dr
Lititz, PA 17543-7694 - Hospital subgroups
- Acute care
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
- Upmc Lititz
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Upmc Lititz
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Lititz, PA
- NPI 1285167916
-
- Clinical Medical Laboratory
- Lititz, PA
- NPI 1356946859
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Upmc Pinnacle | 5% Or Greater Direct Ownership Interest | Jul 1, 2017 | 100% |
| Georgie Hoff | Corporate Director | Jan 1, 2007 | |
| Deborah Willwerth | Corporate Officer | Jan 1, 2013 | |
| W-2 Managing Employee | Jan 1, 2013 | ||
| Abby K Geletzke | Corporate Director | Jul 1, 2024 | |
| W-2 Managing Employee | Jul 1, 2024 | ||
| Thomas E Fromuth | Corporate Director | Mar 1, 2009 | |
| Daniel P Kegel | Corporate Director | May 1, 2019 | |
| Alisa M Jones | Corporate Director | Jul 1, 2024 | |
| Kevin Ressler | Corporate Director | Jan 1, 2020 | |
| Steven Grosh | Corporate Director | May 1, 2013 | |
| Theodore Leamy | Corporate Director | Jul 1, 2023 | |
| Gregory Mitstifer | Corporate Officer | Jul 1, 2024 | |
| W-2 Managing Employee | Jul 1, 2024 | ||
| Joseph Legenstein | Corporate Director | May 1, 2019 | |
| Carlos Graupera | Corporate Director | May 1, 2019 | |
| Kenneth Miller | Corporate Director | Jul 1, 2023 | |
| Christina Persson | Corporate Officer | Jul 1, 2024 | |
| David P Gibbons | Corporate Director | Nov 1, 2023 | |
| W-2 Managing Employee | Nov 1, 2023 | ||
| Christine Dang | Corporate Director | Jan 1, 2013 | |
| Upmc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2017 | 100% |
| Donna Muller | Corporate Director | Jul 1, 2023 | |
| W-2 Managing Employee | Jul 1, 2023 | ||
| Steven Lovino | Corporate Director | Dec 1, 2006 | |
| Sharee L Livingston | Corporate Director | Dec 1, 2014 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Surgery Physician
- Hershey, PA
- NPI 1649590209
Corporate Director, W-2 Managing Employee
-
- Obstetrics & Gynecology Physician
- Lititz, PA
- NPI 1871544668
Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 385
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Harrisburg, PA
- NPI 1518028596
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563408000000",
"number": "1144755091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HIGHLANDS DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHLANDS DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437694",
"telephone_number": "717-625-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC LITITZ",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-28",
"last_updated": "2019-07-18",
"status": "A",
"authorized_official_last_name": "TALEFF",
"authorized_official_first_name": "PATRICE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VP, REVENUE CYCLE",
"authorized_official_telephone_number": "717-230-3790"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103355781",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.