NPIMap

Organization Active NPI

Suburban Hospital, Inc.

  • General Acute Care Hospital
  • Bethesda, MD
National Provider Identifier
1205896446
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
15332 Issued in MD
Legal business name
SUBURBAN HOSPITAL, INC.
Practice address
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone
(301) 896-6002
NPI assigned
Mar 23, 2006
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Ms. Leighann Sidone
Title
President
Phone
(301) 896-2576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 15332 MD Primary
Psychiatric Hospital 283Q00000X 15332 MD

Addresses

Primary practice location

8600 Old Georgetown Rd
Bethesda, MD 20814-1422

Mailing address

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3901

Other identifiers 4

IdentifierTypeStateIssuer
145227700OtherMDUS DEPT OF LABOR OWCP
57352101OtherMDBLUE CROSS OF MD
715OtherDCBLUE CROSS OF NCA
000375100MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000330 MD Part A Provider - Hospital 5395774368 1 other NPI on this enrollment
Practice locations: Bethesda, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205896446. Details of each certification follow.

Hospital certification: CCN 210022

Legal name
SUBURBAN HOSPITAL, INC.
Doing business as
SUBURBAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 16, 2012
Beds
229
Ownership / control type
Private (not for profit)
Most recent change of ownership
Mar 14, 2006 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1985 in MD
Enrollment address
8600 Old Georgtown Rd
Suburban Hospital
Bethesda, MD 20814-1497
Other Hospital Practice Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 1

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

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
Suburban HospitalCCN 210022 · All quality measures
Overall star rating
4 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

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Kimberly Elyanow Individual Corporate Officer Nov 1, 2023
Kevin K Sowers Individual Corporate Director Feb 1, 2018
Leo C Rotello Individual Corporate Director Jul 1, 2022
Lakmini Nanayakkara-Kidder Individual Corporate Officer Aug 31, 2020
Tiffany Pratt Individual Corporate Officer Nov 1, 2023
Jon Slabaugh Individual Corporate Director Jul 1, 2019
Lee Weinstein Individual Corporate Director Jul 1, 2020
Janine Lossing Individual Corporate Director Oct 12, 2018
Alvin D'Angelo Individual Corporate Officer Oct 17, 2022
Michael a Smith Individual Corporate Director Oct 6, 2017
Cindy Merz Individual Corporate OfficerVice President, Development Jun 1, 2021
The Johns Hopkins Health System Corporation Organization, Baltimore, MD Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2009 100%
Vadim M. Schick Individual Corporate Officer Jul 1, 2022
Mary Ellen Beliveau Individual Corporate Director Oct 6, 2017
Lara Eisenberg Individual Corporate Director Jul 1, 2022
Carolyn Carpenter Individual Corporate OfficerTrustee Jun 1, 2021
Sarah Johnson Conway Individual Corporate Director Nov 1, 2023
Mark Edward Futrovsky Individual Corporate DirectorBoard Member Jul 1, 2016
Leighann Sidone Individual Corporate OfficerPresident Jan 27, 2016
W-2 Managing Employee Feb 5, 2024
Brian W Cobb Individual Corporate Officer Oct 6, 2017
Pamela T Owens Individual Corporate OfficerChief Compliance Officer Jul 1, 2017
W-2 Managing Employee Jul 1, 2017
Anu Mullick Individual Corporate Officer May 21, 2023
George Cheely Individual Corporate Officer Nov 1, 2023
David Ruben Individual Corporate DirectorBoard Member Jul 1, 2016
Linda V Courie Individual Corporate Officer Oct 6, 2017
Jonathan E Efron Individual Corporate Director Jan 1, 2018
Barton W Leonard Individual Corporate Director Jul 1, 2018
Elizabeth Flanagan Individual Corporate Director Jul 1, 2019
Peter B Mancino Individual Corporate OfficerVice President of Compliance del Jul 1, 2017
W-2 Managing Employee Jul 1, 2017

Owners & managing parties with NPI records 6

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 48

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 48

Affiliated clinicians 553

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

View all 553

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1205896446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141422",
            "telephone_number": "301-896-3901",
            "fax_number": "301-230-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141422",
            "telephone_number": "301-896-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SIDONE",
        "authorized_official_first_name": "LEIGHANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-896-2576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "15332",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "15332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR OWCP",
            "identifier": "145227700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MD",
            "identifier": "57352101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NCA",
            "identifier": "715",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000375100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.