UNIV OF PENN - RADIOLOGY
NPI 1013920503
Radiology - Vascular & Interventional Radiology in Philadelphia, PA

Active since August 14, 2006
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104(215) 662-3005(215) 662-7011 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Univ Of Penn - Radiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIV OF PENN - RADIOLOGY (NPI 1013920503) is a healthcare organization registered as a vascular & interventional radiology in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Elizabeth Johnston, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013920503
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameUNIV OF PENN - RADIOLOGY
Location Address3400 SPRUCE ST, GROUND FLOOR DULLESPhiladelphia, PA 19104-4206
Mailing Address3624 Market St, Suite 560wPhiladelphia, PA 19104-2614 · (215) 662-2286 · Fax (215) 615-0500
Fax(215) 662-7011
Organization SubpartNo
Authorized OfficialElizabeth JohnstonExecutive Director · (215) 662-3005
Enumeration DateAugust 14, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1013920503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 9

Other10371PA · Healthpartners
Other3Y30270PA · Healthnet
Medicaid8837007NJ
OtherDA4009PA · Railroad Medicare
Medicaid1001258770PA
Other0834536000PA · Keystone
Other45459PA · Keystone Mercy
Other002144PA · Aetna
Other160728PA · Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013920503, enumerated as an "organization" on August 14, 2006.

The provider is located at 3400 SPRUCE ST GROUND FLOOR DULLES PHILADELPHIA, PA 19104 and the phone number is (215) 662-3005.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Aetna and. Please consult your insurance carrier or call the provider to verify.