NPIMap

Organization Active NPI

Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
National Provider Identifier
1215916002
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
200801 Issued in PA
Legal business name
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC
Practice address
111 S 11TH St
2210 Gibbon Building
Philadelphia, PA 19107-4824
Phone
(215) 955-7106
Fax
(215) 955-8732
NPI assigned
Jan 11, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mr. Neil Lubarsky
Title
Senior Vice President for Finance
Phone
(215) 955-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 200801 PA Primary

Addresses

Primary practice location

111 S 11TH St
2210 Gibbon Building
Philadelphia, PA 19107-4824

Mailing address

P.O.Box 85009895
Philadelphia, PA 19178-0001
Phone (215) 955-7106

Other identifiers 14

IdentifierTypeStateIssuer
0053721307OtherPAAMERICHOICE OUTPATIENT
120735OtherPAAETNA US HEALTHCARE SNF
52192OtherPAELDERHEALTH
60005OtherPAKMHP
0001016000OtherPAAMERIHEALTH
0001078000OtherPABLUE CROSS
100757130051MedicaidPA
0001016000OtherPABLUE CROSS
0001480OtherPAAETNA US HEALTHCARE
0005619000OtherPABLUE CROSS
100757130057MedicaidPA
100757130070MedicaidPA
100757130094MedicaidPA
0001480OtherPAAETNA PPO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103001109 PA Part A Provider - Hospital 8123080868

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215916002. Details of each certification follow.

Hospital certification: CCN 390174

Legal name
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 17, 2006
Beds
925 (743 certified)
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Nov 3, 1995 in PA
Enrollment address
111 S 11TH St
Philadelphia, PA 19107-4824
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Thomas Jefferson University HospitalCCN 390174 · 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
Thomas Jefferson University Hospitals Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Thomas Jefferson University Organization, Philadelphia, PA Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Dixieanne James Individual Corporate OfficerPresident Jan 12, 2023
W-2 Managing EmployeePresident Jan 12, 2023
Cristina Cavalieri Individual Corporate Officer Jul 1, 2017
George Deming Individual Corporate Director Jul 1, 2013
Mark Alderman Individual Corporate Director Aug 10, 2009
Jefferson Health Corporation Organization, Philadelphia, PA Corporation, Holding company, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2024 100%
Kristin Barrett Individual Corporate OfficerAssistant Secretary Jul 1, 2022
Patrick J Macmillan Individual Corporate OfficerVP of Finance Jun 1, 2026
Walter Wyatt Individual Corporate OfficerVP of Finance Feb 1, 2025

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rothman Orthopaedic Specialty HospitalBensalem, PA, CCN 390322 Hospital 5% Or Greater Direct Ownership Interest (54%) May 26, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 370

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 370

Affiliated clinicians 2,366

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

View all 2,366

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1215916002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 85009895",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "215-955-7106",
            "fax_number": "215-955-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "2210 GIBBON BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-7106",
            "fax_number": "215-955-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY HOSPITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "LUBARSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT FOR FINANCE",
        "authorized_official_telephone_number": "215-955-9895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "200801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OUTPATIENT",
            "identifier": "0053721307",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE SNF",
            "identifier": "120735",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH",
            "identifier": "52192",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "60005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0001016000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0001078000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757130051",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0001016000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0001480",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0005619000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757130057",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757130070",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757130094",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0001480",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.