NPIMap

Organization Active NPI

Lutheran Hospital

  • General Acute Care Hospital
  • Cleveland, OH
National Provider Identifier
1194763045
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1149 Issued in OH
Legal business name
LUTHERAN HOSPITAL
Practice address
1730 W 25TH St
Cleveland, OH 44113-3108
Phone
(216) 696-4300
NPI assigned
Jun 3, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1149 OH Primary

Addresses

Primary practice location

1730 W 25TH St
Cleveland, OH 44113-3108

Mailing address

6801 Brecksville Rd
Ste 20, Attn: DPC RK2-7
Independence, OH 44131-5062

Other identifiers 5

IdentifierTypeStateIssuer
5345406MedicaidOH
100135OtherKAISER
000000074006OtherANTHEM
0064535OtherAETNA
5000041OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031211000147 OH Part B Supplier - Clinic/Group Practice 2466358387 Receives reassigned benefits from 76 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH
O20051101000429 OH Part A Provider - Hospital 2466358387 Practice locations: Cleveland, OH
O20110803000317 OH Part A Provider - Hospital 2466358387 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194763045. Details of each certification follow.

Hospital certification: CCN 360087

Legal name
LUTHERAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 24, 2013
Beds
203
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1999 in OH
Enrollment address
1730W 25TH St
Cleveland, OH 44113-3108
Other Hospital Practice Location
Hospital subgroups
General

Hospital certification: CCN 36S087

Legal name
LUTHERAN HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 26, 1896 in OH
Enrollment address
1730 W 25TH St
Cleveland, OH 44113-3108
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric, Psychiatric 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).

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lutheran HospitalCCN 360087 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
CCF Ophthalmology229 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Member of 1

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

Locations

88 Warrensville Center Rd
Bedford Heights, OH 44146
Phone (216) 587-3422

15900 Snow Rd
Brook Park, OH 44142
Phone (216) 265-3454

4269 Pearl Rd
Ste 208
Cleveland, OH 44109
Phone (216) 351-4656

7911 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-2876

6701 Rockside Rd
Ste 1
Independence, OH 44131
Phone (216) 524-0120

16761 Southpark Ctr
Strongsville, OH 44136
Phone (216) 363-2222

Ownership & related parties

All disclosed owners & managing parties 44

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

NameRoleSinceShare
Ronald Weinberg Individual Corporate DirectorDirector May 5, 2014
Corporate DirectorDirector May 4, 2015
Marianne Crosley Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Corporate DirectorBoard of Directors- Director Jul 1, 2024
Deborah Crawford Individual Corporate DirectorBoard of Directors- Director Jan 1, 2018
Corporate DirectorDirector - Board of Directors Jan 1, 2018
Marcia Ballinger Individual Corporate DirectorBoard of Directors- Director Jan 1, 2025
Catherine M. Kilbane Individual Corporate DirectorDirector - Board of Directors May 6, 2019
Dan Schulman Individual Corporate DirectorBoard of Directors - Director Feb 28, 2022
Corporate Director Feb 28, 2022
Beth Mooney Individual Corporate OfficerChair, Board of Directors May 6, 2019
Corporate Director Jun 30, 2011
Corporate Director Sep 9, 2013
Melinda Rich Individual Corporate DirectorBoard of Directors - Director Dec 13, 2021
Corporate DirectorBoard of Directors- Director Dec 13, 2021
The Cleveland Clinic Foundation Organization, Cleveland, OH Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 1997 100%
Operational/Managerial Control Mar 1, 1997
5% Or Greater Direct Ownership Interest Mar 1, 1997
Spencer Kowal Individual Corporate OfficerChief Accounting Officer Dec 3, 2025
Corporate OfficerChief Financial Officer Dec 3, 2025
Betty Kemper Individual Corporate DirectorDirector - Board of Directors Aug 3, 2020
Mark Ross Individual Corporate DirectorBoard of Directors - Director Oct 3, 2022
Corporate DirectorBoard of Directors- Director Oct 3, 2022
Doreen Meredith Individual W-2 Managing EmployeeDepartment Analyst II Aug 24, 2015
Dennis L Laraway Individual Corporate OfficerOfficer Mar 13, 2023
Corporate OfficerChief Financial Officer Mar 13, 2023
Carole Hoover Individual Corporate Director Jun 30, 2011
Corporate Director Sep 9, 2013
Stewart Kohl Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Bonnie Gwin Individual Corporate DirectorBoard of Directors - Director Feb 27, 2023
Corporate DirectorBoard of Directors- Director Feb 27, 2023
Hiroyuki Fujita Individual Corporate DirectorMember - Board of Directors Jan 1, 2020
Corporate DirectorDirector - Board of Directors Jan 1, 2020
Larry Pollock Individual Corporate Director Jun 30, 2011
Corporate Director Sep 9, 2013
Richard J. Kramer Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Tomislav Mihaljevic Individual Corporate DirectorDirector - Board of Directors Jan 1, 2018
Corporate DirectorDirector - Board of Directors Oct 1, 2018
Michael Petras Individual Corporate DirectorDirector Jun 6, 2016
Mark P Malloy Individual Corporate OfficerOfficer Sep 10, 2020
Corporate OfficerRegional Cfo, Oh and Treasurer Sep 10, 2020
Stephanie Santin Individual W-2 Managing EmployeeDepartment Analyst II Mar 1, 2024
Jessica McArdle Individual W-2 Managing EmployeeDepartment Analyst I Dec 1, 2023
Timothy R Barnett Individual W-2 Managing EmployeePresident and Chief Medical Officer Oct 1, 2023
W-2 Managing EmployeePresident and Chief Medical Officer Feb 17, 2021
John Waldron Individual Corporate DirectorBoard of Directors - Director Feb 1, 2021
Corporate DirectorBoard of Directors- Director Feb 1, 2021
Jorge Alberto Guzman Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Corporate DirectorBoard of Directors- Director Jul 1, 2024
Albert Salvatore Individual Corporate DirectorDirector - Board of Directors Mar 2, 2021
Thomas Paumier Individual Corporate DirectorBoard of Directors - Director Feb 1, 2024
Corporate DirectorBoard of Directors- Director Feb 1, 2024
Lorraine Vega Individual Corporate DirectorDirector Jan 1, 2016
Pamela Miller Individual Corporate DirectorDirector Sep 9, 2013
Alex Gorsky Individual Corporate DirectorBoard of Directors - Director Jun 17, 2024
Corporate DirectorBoard of Directors- Director Jun 17, 2024
Heidi Sathre Individual W-2 Managing EmployeeFinance Manager I Jan 1, 2015
W-2 Managing EmployeeProvider Enrollment Auditor Aug 19, 2016
Michael E. Maroone Individual Corporate DirectorDirector - Board of Directors Feb 4, 2019
Beri M Ridgeway Individual Corporate DirectorDirector - Board of Directors Jan 1, 2021
Mark Lerner Individual Corporate DirectorDirector Nov 1, 2015
Rachel Byrnes Individual W-2 Managing EmployeeDepartment Analyst II Jun 1, 2022
Frederick Nance Individual Corporate Director Jun 30, 2011
Corporate Director Sep 9, 2013
Dragana Rodic Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Omar Ishrak Individual Corporate DirectorBoard of Directors - Director Aug 3, 2020
Patricia a Warther Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Robert Oblander Individual Corporate OfficerAssistant Secretary May 2, 2016
Corporate OfficerAssistant Secretary Apr 12, 2016
Umberto Fedeli Individual Corporate Director Jun 30, 2011
Corporate Director Sep 9, 2013

Owners & managing parties with NPI records 17

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

View all 17

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 134

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 134

Affiliated clinicians 430

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

View all 430

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1194763045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20, ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-696-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5345406",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0064535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.