NPIMap

Organization Active NPI

The Metrohealth System

Doing business as Metrohealth Medical Center

  • Rehabilitation Hospital Unit
  • Cleveland, OH
National Provider Identifier
1467489682
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
THE METROHEALTH SYSTEM
Doing business as
Metrohealth Medical Center
Practice address
4229 Pearl Rd
Cleveland, OH 44109-4218
Phone
(216) 957-2442
Fax
(216) 957-2404
NPI assigned
Jun 26, 2006
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE METROHEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mr. Derrick Hollings
Title
Evp/Cfo
Phone
(216) 778-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

4229 Pearl Rd
Cleveland, OH 44109-4218

Mailing address

4229 Pearl Rd
PFS Dept Attn: Linda Greenhill SPVR RM 2-20-20
Cleveland, OH 44109-4218
Phone (216) 957-2442

Other names 1

  • METROHEALTH MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071114000521 OH Part A Provider - Hospital 8628982949 Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467489682. Details of each certification follow.

Hospital certification: CCN 36T059

Legal name
THE METROHEALTH SYSTEM
Organization structure
OtherNon-profit
Enrollment address
2500 Metrohealth Dr
Cleveland, OH 44109-1998
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 23

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

View all 23

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Metrohealth Medical CenterCCN 36T059 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Metrohealth Dept of Psy38 organizations share this tax ID, including this one
Part of
Metrohealth Dept of Psy

Other organizations with this tax ID 37

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

View all 37

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Geoff Himes Individual Corporate OfficerVP of Finance Jul 25, 2013
W-2 Managing EmployeeVP of Finance Jul 25, 2013
Joseph Varga Individual W-2 Managing EmployeeDirector of Reimbursement Aug 16, 2009
Craig Richmond Individual Operational/Managerial ControlEvp Chief Financial Officer Nov 15, 2010

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Broadway Dental ClinicCleveland, OH, CCN 721941 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Brooklyn Health CenterCleveland, OH, CCN D21051 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 5, 2024
Gordon Square Health CenterCleveland, OH, CCN D21050 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 2, 2024
Heights Wellnes CenterCleveland Heights, OH, CCN D21074 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 7, 2024
Collinwood Health CenterCleveland, OH, CCN D21063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 7, 2024
Buckeye Health CenterCleveland, OH, CCN D21067 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 7, 2024
Bedford Health CenterBedford, OH, CCN D21072 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 7, 2024

Owned or controlled facilities with NPI records 7

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

  • The Metrohealth System

    dba Bedford Health Center

    • Federally Qualified Health Center (FQHC)
    • Bedford, OH
    • NPI 1255184800

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba MetroHealth Broadway Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1346919362

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Brooklyn Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1558114108

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Gordon Square Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1700639358

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Buckeye Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1710730361

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Collinwood Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1780437335

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Heights Wellness Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland Heights, OH
    • NPI 1861245417

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1467489682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD",
            "address_2": "PFS DEPT ATTN: LINDA GREENHILL SPVR RM 2-20-20",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094218",
            "telephone_number": "216-957-2442",
            "fax_number": "216-957-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094218",
            "telephone_number": "216-957-2442",
            "fax_number": "216-957-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "216-778-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METROHEALTH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METROHEALTH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.