Active NPI
Loretto Hospital
- General Acute Care Hospital
- Chicago, IL
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment2
- Corporate family (same tax ID)6
- Practitioners71
- Affiliated clinicians64
- Care Compare: Hospital
- Medicare participation
- Hospital certification: CCN 140083
- All disclosed owners & managing parties3
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Chicago, IL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1706406
- Legal business name
- LORETTO HOSPITAL
- Practice address
- 645 S Central Ave
Chicago, IL 60644-5059 - Phone
- (773) 854-5000
- Fax
- (773) 626-7902
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Tesa Anewishki
- Title
- President/Ceo
- Phone
- (773) 854-5000
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831364132
O20070103000114
Corporate family (same tax ID) 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1285809236
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1023342664
-
- Substance Abuse Rehabilitation Facility
- Chicago, IL
- NPI 1215395496
-
- General Practice Physician
- Chicago, IL
- NPI 1306318753
-
- Substance Abuse Rehabilitation Facility
- Chicago, IL
- NPI 1801314380
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831364132
Practitioners 71
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Chicago, IL
- NPI 1164496097
IL
Affiliated clinicians 64
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Psychiatric/Mental Health Nurse Practitioner
- Northfield, IL
- NPI 1225408289
Hospital
-
- Interventional Pain Medicine Physician
- Forest Park, IL
- NPI 1871741132
Hospital
Care Compare: Hospital
Medicare Care Compare- Listed as
- Loretto Hospital
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Hospital certification: CCN 140083
Medicare enrollment files- Legal name
- LORETTO HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 16, 2018
- Beds
- 176
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Jul 7, 1939 in IL
- Enrollment address
- 645 S Central Ave
Chicago, IL 60644-5059 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 3
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Tesa R Anewishki | Corporate Officer | Apr 12, 2022 | |
| James R Montgomery | Corporate Director | Sep 15, 2010 | |
| Kenneth McGhee | Corporate Officer | Oct 12, 2012 | |
| W-2 Managing Employee | May 1, 2024 |
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070103000114 | IL | Part B Supplier - Clinic/Group Practice | 5193725893 |
Receives reassigned benefits from 58 practitioners 3 other NPIs on this enrollment Practice locations: Chicago, IL |
| O20111130000488 | IL | Part a Provider - Hospital | 5193725893 | Practice locations: Chicago, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Loretto Hospital
Locations
6905 Cermak Rd
Ste A
Berwyn, IL 60402
Phone (630) 664-2792
Interoperability endpoints
- mumtaz.siddiqui@loretto.medalliesdirect.net
- gary.barsky@loretto.medalliesdirect.net
- deepak.leekha@loretto.medalliesdirect.net
- darla.thomas@loretto.medalliesdirect.net
- ibrahim.majzoub@loretto.medalliesdirect.net
- babu.ponakala@loretto.medalliesdirect.net
- aparna.pai@loretto.medalliesdirect.net
- isaiah.pittman@loretto.medalliesdirect.net
- juliana.nwauwa@loretto.medalliesdirect.net
- gopal.lalmalani@loretto.medalliesdirect.net
- edgar.ramos@loretto.medalliesdirect.net
- eliyazar.gaddam@loretto.medalliesdirect.net
- alan.sadah@loretto.medalliesdirect.net
- bhupatkumar.mehta@loretto.medalliesdirect.net
- elmira.thomas@loretto.medalliesdirect.net
- fernando.ampuero@loretto.medalliesdirect.net
- shital.shah@loretto.medalliesdirect.net
- jared.kalina@loretto.medalliesdirect.net
- ilysa.diamond@loretto.medalliesdirect.net
- vaseem.qureshi@loretto.medalliesdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1706406 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
645 S Central Ave
Chicago, IL 60644-5059
Mailing address
645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 854-5567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2025.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1447280284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606445059",
"telephone_number": "773-854-5567",
"fax_number": "773-626-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606445059",
"telephone_number": "773-854-5000",
"fax_number": "773-626-7902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORETTO HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "ANEWISHKI",
"authorized_official_first_name": "TESA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "773-854-5000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "1706406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.