UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1093725145
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since August 09, 2006
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104(215) 615-4949 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About University Of Penn - Medical Group NPPES

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

UNIVERSITY OF PENN - MEDICAL GROUP (NPI 1093725145) is a healthcare organization registered as a cardiovascular disease in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Stacy Greco, Payer Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1093725145
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameUNIVERSITY OF PENN - MEDICAL GROUP
Location Address3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOORPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, East Pavilion, 2nd FloorPhiladelphia, PA 19104-5127 · (215) 615-4949
Organization SubpartNo
Authorized OfficialStacy GrecoPayer Enrollment Manager · (223) 341-8516
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1093725145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Other Identifiers 10

Other0002Y20116PA · Heathnet
Other5541301NJ · Nj Medicaid
Other1003417PA · Keystone Mercy
Other027133400001PA · Keystone
Other496667PA · Aetna
Medicaid0006610360PA
Other10670PA · Healthpartners
Other058354PA · Blue Shield
OtherCA0235PA · Rr Medicare
Other273543PA · Mamsi

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Penn - Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

363

Medicare enrollment records show 363 clinicians reassign Medicare billing to University Of Penn - Medical Group, which bills Medicare for the services they deliver. Of these, 50 practice at this address and 302 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner174
Cardiovascular Disease (Cardiology)77
Advanced Heart Failure and Transplant Cardiology28
Cardiac Electrophysiology25
Interventional Cardiology21
Internal Medicine16
Diagnostic Radiology8
Nuclear Medicine6
4 other specialties8

Nearest to this location (20)

See all 363
Cardiac Electrophysiology
NPI 1326078437
3400 CIVIC CENTER BOULEVARD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1144305194
3400 CIVIC CENTER BLVD 2 WEST
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1598792400
3400 CIVIC CENTER BLVD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1790907673
3400 CIVIC CENTER BLVD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1275822181
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 662-4000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861379638
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 615-3388
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1194040436
3400 CIVIC CENTER BLVD FL 11
Philadelphia, PA 19104
(267) 324-7522
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1669458287
3400 CIVIC CENTER BLVD FL 2
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1881892669
3400 CIVIC CENTER BLVD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1144548496
3400 CIVIC CENTER BLVD FL 2
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1497999452
3400 CIVIC CENTER BLVD EAST PAVILLION 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOSSame address
Nurse Practitioner
NPI 1770988404
3400 CIVIC CENTER BLVD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Advanced Heart Failure and Transplant Cardiology
NPI 1932401544
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 662-7700
✔ PECOS✔ Accepts MedicareSame address
Advanced Heart Failure and Transplant Cardiology
NPI 1336431584
3400 CIVIC CENTER BLVD 2ND FL
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Advanced Heart Failure and Transplant Cardiology
NPI 1144736620
3400 CIVIC CENTER BLVD 11-162 PCAM
Philadelphia, PA 19104
(215) 615-4949
✔ PECOSSame address
Nurse Practitioner
NPI 1609215425
3400 CIVIC CENTER BLVD 2 EAST
Philadelphia, PA 19104
(215) 615-4949
✔ PECOSSame address
Nuclear Medicine
NPI 1801096029
3400 CIVIC CENTER BOULEVARD
Philadelphia, PA 19104
(215) 662-3005
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1316979610
3400 CIVIC CENTER BLVD EAST PAVILION 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Adult Congenital Heart Disease (ACHD)
NPI 1952573842
3400 CIVIC CENTER BOULEVARD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Adult Congenital Heart Disease (ACHD)
NPI 1144450040
3400 CIVIC CENTER BLVD 2 EAST
Philadelphia, PA 19104
(215) 746-4636
✔ PECOS✔ Accepts MedicareSame address
See all 363 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Penn - Medical Group's NPI number?

The NPI number for University Of Penn - Medical Group is 1093725145. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is University Of Penn - Medical Group located?

University Of Penn - Medical Group is located at 3400 Civic Center Blvd East Pavilion, 2nd Floor, Philadelphia, PA 19104. The listed phone number is (215) 615-4949.

What is University Of Penn - Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is University Of Penn - Medical Group enrolled in Medicare?

Yes. University Of Penn - Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Penn - Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 363 clinicians in 12 Medicare specialties reassign their Medicare billing to University Of Penn - Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (174), Cardiovascular Disease (Cardiology) (77) and Advanced Heart Failure and Transplant Cardiology (28). Of these, 50 practice at this address and 302 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Of Penn - Medical Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Penn - Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Penn - Medical Group was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.