NPIMap

Organization Active NPI

Emergency Hospital Systems LLC

Doing business as Cleveland Emergency Hospital

  • General Acute Care Hospital
  • Cleveland, TX
National Provider Identifier
1992172019
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EMERGENCY HOSPITAL SYSTEMS LLC
Doing business as
Cleveland Emergency Hospital
Practice address
1017 S Travis Ave
Cleveland, TX 77327-5152
Phone
(281) 592-5400
NPI assigned
Aug 24, 2015
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Shanti Bansal, M.D.NPI 1659401974
Title
Manager
Phone
(281) 592-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008404 TX
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1017 S Travis Ave
Cleveland, TX 77327-5152

Mailing address

1017 S Travis Ave
Cleveland, TX 77327-5152
Phone (281) 592-5400

Other names 1

  • CLEVELAND EMERGENCY HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160121002048 TX Part A Provider - Hospital 2567765761 Practice locations: Humble, TX
O20170607000131 TX Part B Supplier - Clinic/Group Practice 2567765761 Receives reassigned benefits from 124 practitioners
Practice locations: Humble, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992172019. Details of each certification follow.

Hospital certification: CCN 670115

Legal name
EMERGENCY HOSPITAL SYSTEMS LLC
Doing business as
CLEVELAND EMERGENCY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 16, 2016
Last certification
May 6, 2021
Beds
16
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 28, 2015 in TX
Enrollment address
8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338-4019
Main/Primary Hospital Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
Cleveland Emergency HospitalCCN 670115 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 2

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

Locations

1017 S Travis Ave
Cleveland, TX 77327
Phone (281) 592-5400

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Roy Moparty Individual 5% Or Greater Direct Ownership Interest Sep 7, 2023 33.33%
Kare Family Limited Partnership LTD Organization, The Woodlands, TX For-profit 5% Or Greater Direct Ownership Interest Jun 15, 2017 33.33%
Ravi Kumar Moparty Individual 5% Or Greater Direct Ownership InterestOwner of Cish Operations, LLC Jul 28, 2015 33.34%
Michael Adkins Individual Operational/Managerial ControlCeo Sep 7, 2023 100%
Rafael J Delaflor-Weiss Individual 5% Or Greater Direct Ownership InterestOwner of Cish Operations, LLC Jul 28, 2015 33.33%
Moparty Family Limited Partnership Organization, Spring, TX For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2017 33.34%
Suman Smith Individual Corporate DirectorDirector of Revenue Cycle Sep 7, 2023 100%
Derade LLC Organization, Spring, TX For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2017 33.33%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 129

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 129

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1992172019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S TRAVIS AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773275152",
            "telephone_number": "281-592-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S TRAVIS AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773275152",
            "telephone_number": "281-592-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY HOSPITAL SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-592-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008404",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEVELAND EMERGENCY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

Verify at the official NPI Registry.