NPIMap

Organization Active NPI

The Union Memorial Hospital

  • General Acute Care Hospital
  • Baltimore, MD
National Provider Identifier
1487741427
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE UNION MEMORIAL HOSPITAL
Practice address
201 E University Pkwy
Baltimore, MD 21218-2829
Phone
(410) 554-2228
NPI assigned
Oct 10, 2006
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Ms. Deana Stout
Title
VP Finance
Phone
(410) 554-2228

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
Rehabilitation Hospital Unit 273Y00000X NU
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

201 E University Pkwy
Baltimore, MD 21218-2829

Mailing address

8020 Corporate Dr
Baltimore, MD 21236-4978

Other identifiers 1

IdentifierTypeStateIssuer
000155400MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000301 MD Part A Provider - Hospital 5597663948 Practice locations: Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487741427. Details of each certification follow.

Hospital certification: CCN 210024

Legal name
THE UNION MEMORIAL HOSPITAL
Doing business as
MEDSTAR UNION MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 18, 1994
Beds
370
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 1854 in MD
Enrollment address
201 E University Pkwy
Baltimore, MD 21218-2829
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Medstar Union Memorial HospitalCCN 210024 · All quality measures
Overall star rating
5 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
Umh Professional Servic21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Member organizations 2

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

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Mahsa Mohebtash Individual Corporate DirectorDirector Nov 1, 2022
Kathleen Dyer Individual Corporate Director Sep 13, 2018
Deana L Stout Individual Corporate OfficerVP Finance Jul 1, 2015
W-2 Managing EmployeeVP Finance Jul 1, 2015
Operational/Managerial ControlVP Finance Jul 1, 2015
Daniel Cahill Individual Corporate DirectorChairman Nov 1, 2016
Samer Najjar Individual Corporate Director Mar 7, 2023
Jeffrey Elkin Individual Corporate Director Nov 1, 2016
Leo Gallagher Individual Corporate Director Nov 1, 2017
Thomas J. Senker Individual Corporate OfficerPresident Jul 1, 2023
W-2 Managing EmployeePresident Jul 1, 2023
Operational/Managerial ControlPresident Jul 1, 2023
Kenneth a Samet Individual Corporate DirectorMedstar Ceo Jun 18, 2008
Zeena Dorai Individual Corporate Director Nov 1, 2017
Dawn M Motovidlak Individual Corporate DirectorBoard Member Nov 1, 2013
Paul Sack Individual Corporate Director Jul 1, 2022
David Z Martin Individual Corporate Director Nov 1, 2018
Rebecca Pearce Individual Corporate Director Jun 28, 2019
Kathryn Hendricks Perry Individual W-2 Managing Employee Aug 1, 2023
The Union Memorial Hospital Organization, Baltimore, MD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 1999 100%
Shams Quazi Individual Corporate Director Mar 1, 2022
Judith Feustle Individual Corporate Director Jun 28, 2019
Anthony Read Individual Corporate Director Nov 1, 2015
Kim Sydnor Individual Corporate Director Nov 1, 2017
Michael Anthony Randolph Individual Corporate DirectorBoard Member Nov 1, 2014
Denis Madden Individual Corporate Director Nov 1, 2019
Medstar Health, Inc. Organization, Columbia, MD Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 1999 100%
Operational/Managerial Control Feb 1, 1999
Holly Tilford Individual Corporate Director Nov 1, 2015
Veronica Cool Individual Corporate Director Nov 1, 2018
P. Dennis Connelly Individual Corporate Director Nov 1, 2022

Owners & managing parties with NPI records 7

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

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 53

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 53

Affiliated clinicians 589

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

View all 589

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1487741427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CORPORATE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNION MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "410-554-2228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000155400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.