NPIMap

Organization Active NPI

Canonsburg General Hospital

  • General Acute Care Hospital
  • Canonsburg, PA
National Provider Identifier
1962401497
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CANONSBURG GENERAL HOSPITAL
Practice address
100 Medical Boulevard
Canonsburg, PA 15317-9762
Phone
(724) 745-3919
NPI assigned
Jul 18, 2005
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Richard Thomas Nagy
Title
VP Payer and Reimbursement Strategy
Phone
(412) 334-7823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PA Primary

Addresses

Primary practice location

100 Medical Boulevard
Canonsburg, PA 15317-9762

Mailing address

120 5TH Ave
Pittsburgh, PA 15222-3000
Phone (412) 330-5040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000604 PA Part A Provider - Hospital 1759363815 Practice locations: Canonsburg, PA; McMurray, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962401497. Details of each certification follow.

Hospital certification: CCN 390160

Legal name
CANONSBURG GENERAL HOSPITAL
Doing business as
CANONSBURG HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 14, 2024
Beds
104 (96 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 19, 1997 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1994 in PA
Enrollment address
100 Medical Boulevard
Canonsburg, PA 15317-9762
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Canonsburg General HospitalCCN 390160 · 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

Locations

160 Gallery Dr
McMurray, PA 15317
Phone (724) 260-7200

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Joseph Macerelli Individual Corporate DirectorBoard Member Jan 1, 2019
West Penn Allegheny Health System, Inc. Organization, Pittsburgh, PA Non-profit Other Apr 29, 2013
Allegheny Health Network Organization, Pittsburgh, PA Corporation, Non-profit Other Apr 29, 2013
Robert Pompeani Individual Corporate Director Jan 1, 2021
Richard Nagy Individual Corporate DirectorVP Managed Care Contracting Mar 1, 2026
W-2 Managing EmployeeVP Managed Care Contracting Mar 1, 2026
Highmark Health Organization, Pittsburgh, PA Non-profit Other Apr 29, 2013
Chong Soon Park Individual Corporate OfficerBoard Member Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Jacqueline M Bauer Individual Corporate OfficerSecretary Jan 1, 2021
Michael Alterio Individual Corporate Director May 22, 2008
Brian Devine Individual Corporate OfficerCfo & Treasurer Dec 18, 2023
James Perryman Individual Corporate OfficerBoard Member Jan 1, 2025
Thomas B Corkery Individual Corporate Director Jan 31, 2022
Brian Ice Individual Corporate DirectorAuthorized Official Sep 1, 2023

Owners & managing parties with NPI records 8

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

Practitioners & affiliated clinicians

Practitioners 34

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 34

Affiliated clinicians 485

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

View all 485

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1962401497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223000",
            "telephone_number": "412-330-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BOULEVARD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "724-745-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANONSBURG GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VP PAYER AND REIMBURSEMENT STRATEGY",
        "authorized_official_telephone_number": "412-334-7823"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.ahn.org",
            "affiliation": "N",
            "address_1": "100 Medical Boulevard",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153179762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.