NPIMap

Meadville Medical Center

Organization Active NPI Hospitalist Physician · Meadville, PA

NPI 1881008142 · NPPES record last updated Nov 17, 2021

Key facts

NPI
1881008142
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
Legal business name
MEADVILLE MEDICAL CENTER
Practice address
751 Liberty St
Meadville Hospitalist Services
Meadville, PA 16335-2559
Phone
(814) 333-7016
Fax
(814) 373-3543
NPI assigned
Jun 16, 2014
Organization subpart
No

Authorized official

Name
Mr. Renato Suntay
Title
Cfo
Phone
(814) 333-5031

Owned or controlled facilities with NPI records 8

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

Other NPIs with the same Medicare PAC ID 20

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

Practitioners 142

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 142

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Meadville Medical Center
Meadville, PA · CCN 390113		 Hospital Operational/Managerial Control Sep 15, 2008
Titusville Area Hospital
Titusville, PA · CCN 391314		 Hospital 5% Or Greater Indirect Ownership Interest Oct 1, 2015
Titusville Area Hospital
Titusville, PA · CCN 39Z314		 Hospital 5% Or Greater Indirect Ownership Interest Oct 1, 2015
Vna Alliance
Meadville, PA · CCN 397655		 Home health agency 5% Or Greater Direct Ownership Interest (25%) Jun 28, 2023
Titusville Area Hospital
Titusville, PA · CCN 393438		 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2015
Titusville Area Hospital
Titusville, PA · CCN 393442		 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2015
Titusville Area Hospital
Oil City, PA · CCN 393441		 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2015
Tionesta Health Center
Tionesta, PA · CCN 393449		 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20141120000219 PA Part B Supplier - Hospital Department(S) 4284535790 Receives reassigned benefits from 5 practitioners
Practice locations: Meadville, PA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208M00000X Yes
General Acute Care Hospital 282N00000X 197101 PA

Addresses

Primary practice location

751 Liberty St
Meadville Hospitalist Services
Meadville, PA 16335-2559

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-7016

Other practice location 1

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5950

Other names

  • Meadville Hospitalist Services Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2021.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1881008142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-7016",
            "fax_number": "814-373-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "address_2": "MEADVILLE HOSPITALIST SERVICES",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352559",
            "telephone_number": "814-333-7016",
            "fax_number": "814-373-3543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Grove St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352945",
            "country_code": "US",
            "telephone_number": "814-333-5950",
            "fax_number": "814-333-5956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEADVILLE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "SUNTAY",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-333-5031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "197101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadville Hospitalist Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Meadville Hospitalist Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meadville, PA

All providers in Meadville, PA · Hospitalist Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.