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: August 16, 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

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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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.

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 12 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.