NPIMap

Organization Active NPI

Upmc McKeesport

  • Rehabilitation Hospital Unit
  • McKeesport, PA
National Provider Identifier
1992715510
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
UPMC MCKEESPORT
Practice address
1500 5TH Ave
McKeesport, PA 15132-2422
Phone
(412) 432-5500
NPI assigned
Aug 8, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Laurene Timmons
Title
Cfo
Phone
(412) 664-6781

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 1

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

Facilities with the same owner 63

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

View all 63

Practitioners 1

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

Affiliated clinicians 4

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Upmc McKeesport HospitalCCN 39T002
Ownership
Non-profit
Certified
Jul 1, 1989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000232 PA Part A Provider - Hospital 7810891157 Practice locations: McKeesport, PA

Hospital certification: CCN 39T002

Legal name
UPMC MCKEESPORT
Organization structure
CorporationNon-profit
Incorporated
May 1, 1998 in PA
Enrollment address
1500 Fifth Ave
McKeesport, PA 15132-2422
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

All disclosed owners & managing parties 15

Medicare enrollment files

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

NameRoleSinceShare
Andrew G Rush Individual Corporate OfficerHospital President Oct 4, 2024
W-2 Managing EmployeeHospital President Oct 4, 2024
Rebecca McHolme Individual Corporate DirectorCo-Chairperson Jun 1, 2016
Kotayya E Kondaveeti Individual Corporate DirectorBoard Member Jul 1, 2011
Robert Voinchet Individual Corporate DirectorBoard Member May 12, 2011
Sean Logan Individual Corporate DirectorCo-Chairperson May 12, 2011
Leslie Davis Individual W-2 Managing EmployeeCorporate President & Ceo Aug 1, 2021
Rogi Paul Individual Corporate DirectorBoard Member Jul 1, 2024
Anthony Braun Individual Corporate DirectorBoard Member Feb 14, 2025
P Dafe Ogagan Individual Corporate DirectorBoard Member Sep 4, 2023
Marc E Cordero Individual Corporate DirectorBoard Member Sep 4, 2023
Joel Philip Yuhas Individual Corporate DirectorBoard Member Aug 25, 2023
Irving Latterman Individual Corporate DirectorBoard Member Jan 1, 2018
Laurene Timmons Individual Corporate OfficerSecretary/Treasurer Oct 1, 2016
W-2 Managing Employee Oct 1, 2016
Upmc Organization, Pittsburgh, PA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest May 1, 1998 100%
Abdulrab Aziz Individual Corporate DirectorBoard Member Jul 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Upmc Med and Spec SVC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1500 5TH Ave
McKeesport, PA 15132-2422

Mailing address

600 Grant Street, US Steel Tower, 59TH Floor
C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
0958OtherPAHIGHMARK PROVIDER NUMBER
1007643400001MedicaidPA
000000056235OtherPAMEDPLUS NUMBER

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)
CONNECT URL uconnect.upmc.com Other

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992715510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET, US STEEL TOWER, 59TH FLOOR",
            "address_2": "C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 5TH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-432-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC MCKEESPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "LAURENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-664-6781"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "0958",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007643400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS NUMBER",
            "identifier": "000000056235",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1500 5th Ave",
            "city": "McKeesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151322422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uconnect.upmc.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.552.100.2.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.