MVHS Inc
Organization Active NPI General Acute Care Hospital · Utica, NY
NPI 1205877172 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1205877172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 3202003H (NY)
- Legal business name
- MVHS INC
- Practice address
- 111 Hospital Dr
Utica, NY 13502-2517 - Phone
- (315) 917-9966
- Fax
- (315) 234-3998
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Cody White
- Title
- Avp Revenue Cycle Services
- Phone
- (315) 801-4429
Owners & managing parties with NPI records 1
-
Sushma Kaul, MD
Other NPIs with the same Medicare PAC ID 3
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 395
-
Rose S Antilus, MD
-
Ellen Marie Biggers, M.D.
-
Mario Carrillo, D.O.
-
Kyril Choumarov, MD
-
Mark James Crye, MD
-
Dominique Delma, MD
-
Oleg Dulkin, MD
-
Muzeyyen Ercanli, M.D.
-
William A Graber, MD
-
Anwarul Karim, MD
-
Brij Kumar, MD
-
Goutham K Malempati, M.D.
-
Christopher C Max, M.D.
-
Tatjana Mondom, MD
-
Deepak Penesetti, M.D.
-
Virendra Sharma, MD
Affiliated clinicians 843
-
Suhail A Abbasi, MD,FACP,FHM,FRCP
-
Uzma Abbasi, M.D.
-
Nabin Adhikari, MD
-
Javaid Afghani, DO
-
Sameer Aggarwal, M.D.
-
Faseeh Ahmed, DO
-
Mahmoud Ahmed, MD
-
Shaikh Mamun Ahmed, M.D.
-
Douglas Ahn, M.D.
-
Domenic P Aiello, MD
-
Maykol G. Alarcon, FNP
-
Waleed Albert, MD
-
Raphael J Alcuri, M.D.
-
Brian C Alessi, MD
-
Kwaku Amankwah, M.D.
-
Jeffrey D Amidon, D.O.
-
Minela Andelija, RPA-C
-
David Oves Andonian, MD, MPH
-
Nataliya Andranovich, MS,FNP-BC
-
Desta Rowena Anthony, ANP
Medicare Care Compare: Hospital
- Listed as
- Wynn Hospital
- Overall star rating
- ★☆☆☆☆ 1 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 NY
Hospital certification: CCN 330044
- Legal name
- MVHS INC
- Doing business as
- WYNN HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 23, 2013
- Beds
- 372
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 111 Hospital Drive
Utica, NY 13502-2517 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Marissa Burnup |
W-2 Managing Employee |
Sep 7, 2023 | |
| Mohawk Valley Health System |
Operational/Managerial Control | Mar 1, 2014 | |
| Andrea Klumbach |
W-2 Managing Employee |
Sep 7, 2023 | |
| Kimberly Lorraine |
W-2 Managing Employee |
Sep 7, 2023 | |
| Belinda Grossi |
Corporate Director |
Jul 26, 2022 | |
| W-2 Managing Employee | Jul 26, 2022 | ||
| Louis Aiello |
Corporate Officer | Mar 1, 2014 | |
| W-2 Managing Employee | Mar 1, 2014 | ||
| Sushma Kaul |
Corporate Director |
Apr 1, 2021 | |
| Cody White |
Corporate Director |
Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040714000986 | NY | Part a Provider - Hospital | 2769380252 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| General Acute Care Hospital | 282N00000X | 3202003H | NY | Yes |
Addresses
Primary practice location
111 Hospital Dr
Utica, NY 13502-2517
Mailing address
2215 Genesee St
Utica, NY 13501-5930
Phone (315) 801-4238
Other names
- Wynn Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Utica, NY
- Donalt Mutimura
- Muzaffar N Khan Physician PC
- MV Medical Practice PC
- MV Medical Transport LLC
- MVHS Inc
- MVHS Inc
- MVHS Inc
- MVHS Inc
- MVHS Inc
- MVHS Inc
All providers in Utica, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. 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.