NPIMap

Organization Active NPI

University Hospitals Cleveland Medical Center

Doing business as University Hospitals Mentor Health Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
National Provider Identifier
1487770335
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Doing business as
University Hospitals Mentor Health Center
Practice address
9000 Mentor Ave
Mentor, OH 44060-4496
Phone
(216) 844-8447
NPI assigned
Mar 22, 2007
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Anthony Schillero
Title
Director, FP&a
Phone
(216) 767-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9000 Mentor Ave
Mentor, OH 44060-4496

Mailing address

PO Box 772930
Detroit, MI 48277-2930
Phone (216) 844-8447

Other names 1

  • University Hospitals Mentor Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000074 OH Part A Provider - Hospital 3274431879 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487770335. Details of each certification follow.

Hospital certification: CCN 360137

Legal name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Doing business as
UH CLEVELAND MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 28, 2007
Beds
1,037
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1953 in OH
Enrollment address
11100 Euclid Ave
Cleveland, OH 44106-1716
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Short-term, Psychiatric unit

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Uh Cleveland Medical CenterCCN 360137 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
University Hospitals of28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
University Hospitals Health System Inc Organization, Shaker Heights, OH Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 1997 100%
Daniel I Simon Individual Corporate OfficerPresident Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
W-2 Managing EmployeePresident Jan 1, 2017
Michelle Gallucci Individual Corporate Officer· VP Chief Accounting Officer Jul 10, 2025
Jason Pirtz Individual Corporate Officer Aug 1, 2023
W-2 Managing EmployeeCoo - Uh CMC Aug 1, 2023
Cliff Andrew Megerian Individual Corporate OfficerPresident and Ceo Jan 1, 2021
Corporate DirectorBoard Member 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.

Practitioners & affiliated clinicians

Affiliated clinicians 2,367

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

View all 2,367

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1487770335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772930",
            "telephone_number": "216-844-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604496",
            "telephone_number": "216-844-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SCHILLERO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR, FP&A",
        "authorized_official_telephone_number": "216-767-8141"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "University Hospitals Mentor Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Hospitals Mentor Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.