NPIMap

Organization Active NPI

American Healthcare Systems Illinois LLC

  • General Acute Care Hospital
  • Granite City, IL
National Provider Identifier
1326765884
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Practice address
2100 Madison Ave
Granite City, IL 62040-4713
Phone
(818) 666-0602
NPI assigned
Oct 25, 2022
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Jonathan E Burket
Title
Compliance
Phone
(818) 666-0602

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2100 Madison Ave
Granite City, IL 62040-4713

Mailing address

505 N Brand Blvd Ste 1110
Glendale, CA 91203-3932
Phone (818) 666-0602

Other practice location 1

4802 S State Route 159 Ste A
Glen Carbon, IL 62034-1904
Phone (618) 288-4388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515000527 IL Part A Provider - Hospital 2769857481 4 other NPIs on this enrollment
Practice locations: Glen Carbon, IL; Granite City, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326765884. Details of each certification follow.

Hospital certification: CCN 140125

Legal name
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Doing business as
GATEWAY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 6, 2025
Beds
406
Ownership / control type
Other
Most recent change of ownership
Mar 1, 2023 (1 total)
Organization structure
LLCProprietary
Enrollment address
2100 Madison Ave
Granite City, IL 62040-4713
Main/Primary Hospital Location
Hospital subgroups
Acute care

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).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Gateway Regional Medical CenterCCN 140125 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
American Healthcare Systems Illinois LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4802 S State Route 159
Ste A
Glen Carbon, IL 62034

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
American Healthcare Systems Corp Inc Organization, Glendale, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Elizabeth Rosenthal Individual Corporate OfficerCompliance Aug 1, 2022
Jonathan E Burket Individual Corporate OfficerCco Mar 1, 2023
W-2 Managing Employee Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Mike M Sarian Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 51%

Facilities with the same owner 5

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

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 99

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

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1326765884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD STE 1110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033932",
            "telephone_number": "818-666-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404713",
            "telephone_number": "818-666-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 S State Route 159 Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620341904",
            "country_code": "US",
            "telephone_number": "618-288-4388",
            "fax_number": "618-798-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BURKET",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "818-666-0602"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.