NPIMap

Organization Active NPI

Children's Hospital Medical Center

  • Children's Hospital
  • Cincinnati, OH
National Provider Identifier
1548212988
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Practice address
3333 Burnet Ave
Cincinnati, OH 45229
Phone
(513) 636-4225
Fax
(513) 636-2511
NPI assigned
May 16, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mrs. Jodianne Broomall
Title
Sr Director Billing & Coding Serv
Phone
(513) 636-5047

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
General Acute Care Hospital 282N00000X NU
Children's Hospital 282NC2000X NU Primary
Clinical Medical Laboratory 291U00000X NU
Dialysis Equipment & Supplies (DME) 332BD1200X NU
Air Ambulance 3416A0800X NU
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

3333 Burnet Ave
Cincinnati, OH 45229

Mailing address

3333 Burnet Ave
ML 9013
Cincinnati, OH 45229-3039
Phone (513) 636-4225

Other identifiers 18

IdentifierTypeStateIssuer
304488850MedicaidMI
55000152MedicaidKY
1473285MedicaidOH
200260070AMedicaidIN
700093MedicaidKY
01100527MedicaidNY
1640MedicaidKY
4183703MedicaidNJ
0173998000MedicaidWV
10198AMedicaidSC
10454BMedicaidSC
31000425MedicaidKY
107519900MedicaidFL
404488860MedicaidMI
01540871MedicaidKY
119659401MedicaidTX
56014228MedicaidKY
001065780-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061026000045 OH Part A Provider - Hospital 8426955733 Practice locations: Union, KY; Norwood, OH; Montgomery, OH; Mason, OH; Cincinnati, OH; Liberty Township, OH; Fairfield, OH; Crestview HLS, KY
O20080213000648 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 8426955733 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548212988. Details of each certification follow.

Hospital certification: CCN 363300

Legal name
CHILDREN'S HOSPITAL MEDICAL CENTER
Doing business as
CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Aug 2, 1985
Last certification
Dec 3, 2010
Beds
523 (467 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1973 in OH
Enrollment address
3333 Burnet Ave
Cincinnati, OH 45229-3026
Main/Primary Hospital Location
Hospital subgroups
Children’s, Other

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cincinnati Children's Hospital Medical CenterCCN 363300 · All quality measures
Type
Childrens
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
CHMC Professional Busin14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Member organizations 1

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

Locations

3333 Burnet Ave
#9013
Cincinnati, OH 45229

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Stephen J Davis Individual Corporate OfficerCeo Nov 22, 2021
Operational/Managerial ControlCeo Nov 22, 2021
Paul Edmond Jenny Individual Corporate OfficerSVP/Cfo Jan 25, 2021
W-2 Managing EmployeeSVP/Cfo Jan 25, 2021
Operational/Managerial ControlSVP/Cfo Jan 25, 2021

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Children's Hospital Medical CenterCincinnati, OH, CCN 367569 Home health agency Operational/Managerial Control Feb 1, 2008

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 325

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 325

Affiliated clinicians 242

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

View all 242

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1548212988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "address_2": "ML 9013",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293039",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "BROOMALL",
        "authorized_official_first_name": "JODIANNE",
        "authorized_official_title_or_position": "SR DIRECTOR BILLING & CODING SERV",
        "authorized_official_telephone_number": "513-636-5047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "MEDICAID",
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        },
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        },
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            "identifier": "1473285",
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        },
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            "identifier": "200260070A",
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        },
        {
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            "identifier": "4183703",
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        },
        {
            "code": "05",
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            "identifier": "0173998000",
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            "identifier": "10198A",
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        },
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            "identifier": "107519900",
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            "code": "05",
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            "issuer": null,
            "identifier": "119659401",
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        {
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.