NPIMap

Organization Active NPI

Trustees of the University of Pennsylvania

Doing business as Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
National Provider Identifier
1851370910
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Doing business as
Hospital of the University of Pennsylvania
Practice address
3400 Spruce St
Philadelphia, PA 19104-4206
Phone
(215) 796-4640
Fax
(609) 770-7792
NPI assigned
Jan 16, 2006
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Mr. Thomas M McCormick Jr.
Title
Vice President Finance
Phone
(215) 762-0888

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychiatric Hospital Unit 273R00000X NU
Substance Use Disorder Rehabilitation Hospital Unit 276400000X NU
General Acute Care Hospital 282N00000X NU Primary
Air Ambulance 3416A0800X PA
Land Ambulance 3416L0300X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4206

Mailing address

1500 Market St
Upper Mezzanine 600
Philadelphia, PA 19102-2100
Phone (215) 796-4640

Other practice location 1

501 S 54th St
Philadelphia, PA 19143-1900
Phone (215) 316-5151

Other identifiers 2

IdentifierTypeStateIssuer
4193105MedicaidNJ
1001258770069MedicaidPA

Other names 1

  • Hospital of the University of Pennsylvania Doing business as

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 PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080105000044 PA Part A Provider - Hospital 2062326507 1 other NPI on this enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851370910. Details of each certification follow.

Hospital certification: CCN 390111

Legal name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Doing business as
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 3, 2013
Beds
782 (599 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1800 in PA
Enrollment address
3400 Spruce St
Philadelphia, PA 19104-4238
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital of Univ of PennsylvaniaCCN 390111 · All quality measures
Overall star rating
5 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
Hup Dept Pathology la44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

777 Township Line Rd
Ste 210310
Yardley, PA 19067

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Julia Puchtler Individual Corporate OfficerSystem Cfo Jul 1, 2024
Trustees of the University of Pennsylvania Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 18, 2007
Operational/Managerial Control Oct 18, 2007
George Cotsarelis Individual Corporate DirectorBoard Member Jul 1, 2024
Michele Volpe Individual Corporate DirectorBoard Member Oct 13, 2022
Kevin B Mahoney Individual Corporate DirectorBoard Member Jun 6, 2019
Regina Cunningham Individual Corporate DirectorChief Executive Officer Jul 1, 2014
Ana Luisa Pujols-McKee Individual Corporate DirectorBoard Member Sep 12, 2023
Jacqueline Margo Brooks Carthon Individual Corporate DirectorBoard Member Sep 12, 2023
Neil O Fishman Individual Corporate DirectorBoard Member Jul 1, 2016
Jonathan a Epstein Individual Corporate DirectorBoard Member Dec 12, 2023
Elaine Shiffler Individual Corporate OfficerChief Financial Officer Jul 1, 2024
Patricia J Kroculick Individual Corporate DirectorBoard Member Jul 1, 2022
Colleen Mattioni Individual Corporate DirectorBoard Member Sep 20, 2018
Thomas McCormick Individual W-2 Managing Employee Jun 28, 2001
Albert Zezulinski Individual Corporate DirectorBoard Member Jul 1, 2012
Michael Rossi Individual W-2 Managing Employee Oct 1, 2006

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 16

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

FacilityTypeRoleSince
Penn Medicine Princeton Medical CenterPlainsboro, NJ, CCN 310010 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Lancaster General HospitalLancaster, PA, CCN 390100 Hospital 5% Or Greater Indirect Ownership Interest Aug 1, 2015
Hospital of the University of PennsylvaniaPhiladelphia, PA, CCN 39T111 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Nov 16, 2017
The Pennsylvania Hospital of the University of Pennsylvania Health SysPhiladelphia, PA, CCN 390226 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1997
The Pennsylvania Hospital of the University of Pennsylvania Health SysPhiladelphia, PA, CCN 39S226 Hospital 5% Or Greater Direct Ownership Interest Apr 30, 1997
Penn Presbyterian Medical CenterPhiladelphia, PA, CCN 390223 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 13, 1995
Penn Medicine | Good Shepherd RehabilitationPhiladelphia, PA, CCN 392050 Hospital Other (49%) Jul 1, 2019
Chester County HospitalWest Chester, PA, CCN 390179 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2013
Penn Medicine Princeton Medical Center Acute Rehabilitation CenterPlainsboro, NJ, CCN 31T010 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Penn Medicine Princeton House Behavioral HealthPlainsboro, NJ, CCN 31S010 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Lancaster Behavioral Health HospitalLancaster, PA, CCN 394055 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 7, 2014
Rittenhouse Post AcutePhiladelphia, PA, CCN 395749 Skilled nursing facility Adp of the SNF Sep 12, 2024
Penn Medicine Home HealthBala Cynwyd, PA, CCN 397125 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 13, 1995
Penn Medicine Home Health Princeton HealthPrinceton, NJ, CCN 317045 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Penn Medicine Hospice Princeton HealthPrinceton, NJ, CCN 311506 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Penn Medicine HospiceBala Cynwyd, PA, CCN 391501 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1997

Owned or controlled facilities with NPI records 19

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

View all 19

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 470

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 470

Affiliated clinicians 5,178

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

View all 5,178

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1851370910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "UPPER MEZZANINE 600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-796-4640",
            "fax_number": "609-770-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-796-4640",
            "fax_number": "609-770-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S 54th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-316-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "215-762-0888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4193105",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001258770069",
            "state": "PA"
        }
    ],
    "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": [
        {
            "organization_name": "Hospital of the University of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospital of the University of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.