NPIMap

Organization Active NPI

Upmc Presbyterian Shadyside

  • Rehabilitation Hospital Unit
  • Pittsburgh, PA
National Provider Identifier
1306855366
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
UPMC PRESBYTERIAN SHADYSIDE
Practice address
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone
(412) 432-5500
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Jared Weiner
Title
Cfo
Phone
(412) 864-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

200 Lothrop St
Pittsburgh, PA 15213-2536

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 4

IdentifierTypeStateIssuer
0131OtherPAHIGHMARK PROVIDER NUMBER
1000019040136MedicaidPA
1000019040136OtherPAION HEALTHCARE NUMBER
000000140484OtherPAMEDPLUS NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL uconnect.upmc.com Other
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000872 PA Part A Provider - Hospital 3870401847 Practice locations: Pittsburgh, PA

Hospital certification: CCN 39T164

Legal name
UPMC PRESBYTERIAN SHADYSIDE
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1961 in PA
Enrollment address
200 Lothrop Street
Montefiore Muh 11 East/West
Pittsburgh, PA 15213-2536
Other Hospital Practice Location
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Upmc MontefioreCCN 39T164
Ownership
Non-profit
Certified
Jul 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Associates29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

600 Grant St
Pittsburgh, PA 15219
Phone (412) 402-0249

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Amy L Seybert Individual Corporate Director Aug 1, 2023
Jared Weiner Individual Corporate OfficerCfo Jul 1, 2016
W-2 Managing Employee Jul 1, 2016
Jacqueline Dunbar-Jacob Individual Corporate Director Aug 1, 2023
Yvette L Broadnax Individual Corporate Director Jan 1, 2023
William Esterly Individual Corporate Director Jun 1, 2015
Lezetta L Cox Individual Corporate Director Aug 1, 2023
Geroge Petropoulos Individual Corporate Director Jul 1, 2022
Ann E Thompson Individual Corporate Director Jul 1, 2015
Sandra Rader Individual OtherHospital President Jan 1, 2022
Kristian Feterik Individual Corporate DirectorEx-Officio With Vote Aug 1, 2023
Anantha Shekhar Individual Corporate Director Jun 1, 2020
Sheila Fine Individual Corporate Director Aug 1, 2023
Upmc Organization, Pittsburgh, PA 5% Or Greater Direct Ownership Interest Jul 1, 1993 100%
Karen W Feinstein Individual Corporate Director Jul 1, 2010
Michele Jegasothy Individual Corporate OfficerSecretary Mar 31, 2004
Joseph Walton Individual Corporate Director Aug 1, 2023
Jennifer N March Individual Corporate Director Aug 1, 2023
Mary Ellen Smith Glasgow Individual Corporate Director Aug 1, 2023
John Stilley Individual Corporate OfficerTreasurer Jan 1, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 63

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

View all 63

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1306855366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-432-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC PRESBYTERIAN SHADYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-864-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "0131",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000019040136",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ION HEALTHCARE NUMBER",
            "identifier": "1000019040136",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS NUMBER",
            "identifier": "000000140484",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uconnect.upmc.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.552.100.2.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Lothrop St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152132536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.