Active NPI
Upmc St.Margaret
Doing business as Classic Care Gerontology
- Geriatric Medicine (Internal Medicine) Physician
- Pittsburgh, PA
National Provider Identifier
1225088313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- UPMC ST.MARGARET
- Doing business as
- Classic Care Gerontology
- Practice address
- 815 Freeport Rd
100 Med Arts BLDG Suite 105
Pittsburgh, PA 15215-3301 - Phone
- (412) 647-0943
- Fax
- (412) 647-4050
- NPI assigned
- May 11, 2006
- Last updated
- Oct 26, 2007
- 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
- Mr. Mark Ehalt
- Title
- Director, Revenue Cycle
- Phone
- (412) 647-0943
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
815 Freeport Rd
100 Med Arts BLDG Suite 105
Pittsburgh, PA 15215-3301
Mailing address
815 Freeport Rd
100 Med Arts BLDG Suite 105
Pittsburgh, PA 15215-3301
Phone (412) 647-0943
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HIGHMARK PSYCH MANAG | Other | PA | 272784 |
| HIGHMARK BC/BS | Other | PA | 1443485 |
| HIGHMARK PSYCH | Other | PA | 1661252 |
Other names 1
- Classic Care Gerontology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070501000549 | PA | Part A Provider - Hospital | 8022912187 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pittsburgh, PA; Natrona Heights, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225088313. Details of each certification follow.
Hospital certification: CCN 390102
- Legal name
- UPMC ST MARGARET
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 23, 2023
- Beds
- 250 (236 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Mar 1, 1997 (1 total)
- Organization structure
- Corporation
- Incorporated
- Jan 20, 1997 in PA
- Enrollment address
- 815 Freeport Road
Pittsburgh, PA 15215-3301 - Hospital subgroups
- Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Rehabilitation Hospital Unit
- Pittsburgh, PA
- NPI 1285644823
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Hospital
Medicare Care Compare- Listed as
- Upmc St Margaret
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryLocations
815 Freeport Rd
Ste 105
Pittsburgh, PA 15215
Phone (412) 784-5232
Ownership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Robert Blosat | Corporate Director | May 26, 2022 | |
| Matt El-Kadi | Corporate Director | Dec 2, 2021 | |
| Jared Weiner | Corporate Officer | Mar 28, 2026 | |
| W-2 Managing Employee | Mar 28, 2026 | ||
| Craig S Mauro | Corporate Director | Jul 1, 2024 | |
| Robert Hofmann | Corporate Director | Jan 1, 2026 | |
| James Ferguson | Other | Jan 1, 2025 | |
| Edward Dills | Corporate Director | Jan 16, 2003 | |
| Julie Campbell | Corporate Director | Apr 1, 2016 | |
| James W Boyle | Corporate Director | Jan 16, 2026 | |
| Debra Dinnocenzo | Corporate Director | Jul 24, 2003 | |
| Joel Philip Yuhas | Corporate Director | May 25, 2023 | |
| Andrew Ritchie | W-2 Managing Employee | Aug 1, 2024 | |
| Richard Hamilton | Corporate Director | Jan 1, 2026 | |
| Lisa S Lenihan | Corporate Director | Jan 1, 2026 | |
| Vincent J Silvaggio | Corporate Director | Jul 1, 2018 | |
| Eric a Frankel | Corporate Director | Jan 1, 2026 | |
| Upmc | Operational/Managerial Control | Mar 1, 1997 | 100% |
| Daniel R Sullivan | Corporate Officer | Sep 17, 1998 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 854
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1225088313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 FREEPORT RD",
"address_2": "100 MED ARTS BLDG SUITE 105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152153301",
"telephone_number": "412-647-0943",
"fax_number": "412-647-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 FREEPORT RD",
"address_2": "100 MED ARTS BLDG SUITE 105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152153301",
"telephone_number": "412-647-0943",
"fax_number": "412-647-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC ST.MARGARET",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "EHALT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
"authorized_official_telephone_number": "412-647-0943",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "272784",
"identifier": "HIGHMARK PSYCH MANAG",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1443485",
"identifier": "HIGHMARK BC/BS",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1661252",
"identifier": "HIGHMARK PSYCH",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Classic Care Gerontology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.