NPIMap

Organization Active NPI

Windber Hospital, Inc

Doing business as Windber Community Based Palliative Care Program

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Windber, PA
National Provider Identifier
1235778135
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
WINDBER HOSPITAL, INC
Doing business as
Windber Community Based Palliative Care Program
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-3108
Fax
(814) 467-3110
NPI assigned
Dec 26, 2019
Last updated
Dec 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Authorized official

Name
Richard Michael Sukenik
Title
Cfo/VP
Phone
(814) 467-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3108

Other names 1

  • Windber Community Based Palliative Care Program Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320000378 PA Part B Supplier - Hospital Department(S) 9234187576 Receives reassigned benefits from 1 practitioner
Practice locations: Windber, PA

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Windber Hospital Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1410 11th Ave
Fl 2
Altoona, PA 16601

121 Rolling Acres Dr
Alum Bank, PA 15521
Phone (814) 839-4191

374 Theatre Dr
Ste 2C
Johnstown, PA 15904
Phone (814) 467-3195

600 Somerset Ave
#D58
Windber, PA 15963

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Regional Hospice at WindberWindber, PA, CCN 391541 Hospice Operational/Managerial Control (100%) Jul 1, 1990

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 62

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 62

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1235778135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3108",
            "fax_number": "814-467-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3108",
            "fax_number": "814-467-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBER HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "SUKENIK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO/VP",
        "authorized_official_telephone_number": "814-467-3444"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windber Community Based Palliative Care Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.