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TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
NPI 1124882949
Internal Medicine in Philadelphia, PA

Active since February 12, 2024
51 N 39TH ST, PHILADELPHIA, PA 19104(215) 662-8000 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Trustees Of The University Of Pennsylvania NPPES

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

TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI 1124882949) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since February 2024. The organization lists Chante L Jackson, Payer Supervisor, as its authorized official.

NPPES Registry Identity

NPI1124882949
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Location Address51 N 39TH STPhiladelphia, PA 19104-2640
Mailing Address51 N 39th StPhiladelphia, PA 19104-2640
Phone(215) 662-8000
Organization SubpartNo
Authorized OfficialChante L JacksonPayer Supervisor · (267) 207-7303
Enumeration DateFebruary 12, 2024
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1124882949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
51 N 39TH ST, Philadelphia, PA 19104
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trustees Of The University Of Pennsylvania is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

198

Medicare enrollment records show 198 clinicians reassign Medicare billing to Trustees Of The University Of Pennsylvania, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 172 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Internal Medicine76
Family Practice52
Nurse Practitioner35
Hospitalist25
Certified Nurse Midwife (CNM)3
Addiction Medicine1
Anesthesiology1
Geriatric Medicine1
4 other specialties4

Nearest to this location (20)

See all 198
Robin Canada, MD
Internal Medicine
NPI 1346357175
51 N 39TH ST
Philadelphia, PA 19104
(215) 662-9436
✔ PECOS✔ Accepts MedicareSame address
Judy Chertok, MD
Family Practice
NPI 1720246002
51 N 39TH ST 7TH FLOOR
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts MedicareSame address
Laura Kosseim, MD
Hospitalist
NPI 1912933607
51 N 39TH ST MAB, SUITE 102
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Gillian Lautenbach, MD
Internal Medicine
NPI 1568492684
51 N 39TH ST
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Anita Lee, MD
Internal Medicine
NPI 1013948793
51 N 39TH ST
Philadelphia, PA 19104
(215) 662-9436
✔ PECOS✔ Accepts MedicareSame address
Margaret Lowenstein, MD
Hospitalist
NPI 1326381872
51 N 39TH ST, PHILADELPHIA
Philadelphia, PA 19104
(215) 662-3797
✔ PECOS✔ Accepts MedicareSame address
Sheila Quinn, DO
Internal Medicine
NPI 1023301652
51 N 39TH ST
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Marc Shalaby, MD
Internal Medicine
NPI 1780613323
51 N. 39TH STREET MAB, SUITE 102
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Cynthia Smith, MD
Internal Medicine
NPI 1477533131
51 N. 39TH STREET
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Rachael Truchil, MD
Hospitalist
NPI 1093949737
51 N. 39TH STREET
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Peter Cronholm, MD
Family Practice
NPI 1841235504
3819 CHESTNUT ST STE 205
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts MedicareSame address
Annmarie Rodriguez Hadad, MD
Internal Medicine
NPI 1558858225
51 N 39TH ST STE 102
Philadelphia, PA 19104
(215) 662-9990
✔ PECOS✔ Accepts MedicareSame address
Terri Mcfillin Petrongolo, DO
Family Practice
NPI 1144258260
3819 CHESTNUT STREET SUITE 205
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare0.1 mi
Kendal Williams, MD
Hospitalist
NPI 1942232236
51 NORTH 39TH STREET
Philadelphia, PA 19104
(215) 662-9436
✔ PECOS✔ Accepts Medicare0.1 mi
Nichole Smith, MD
Internal Medicine
NPI 1689258717
3801 FILBERT STREET MEDICAL ARTS BUILDING, SUITE. 212
Philadelphia, PA 19104
(215) 662-8978
✔ PECOS✔ Accepts Medicare0.1 mi
Andrea Danielson, CRNP
Nurse Practitioner
NPI 1922540202
3737 MARKET STREET 9TH FLOOR
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare0.2 mi
Nia Bhadra-Heintz, MD
Obstetrics/Gynecology
NPI 1609304385
3701 MARKET ST 3RD FL
Philadelphia, PA 19104
(215) 662-6035
✔ PECOS✔ Accepts Medicare0.2 mi
Lilli Flink, MD
Geriatric Medicine
NPI 1417410333
3615 CHESTNUT ST RALSTON PENN CENTER
Philadelphia, PA 19104
(215) 662-2746
✔ PECOS✔ Accepts Medicare0.2 mi
Razvan Azamfirei, MD, PHD
Anesthesiology
NPI 1275187163
3400 SPRUCE ST 6 DULLES
Philadelphia, PA 19104
(215) 662-3154
✔ PECOS0.5 mi
Sahrish Ilyas, M.D.
Infectious Disease
NPI 1538523303
3400 SPRUCE ST.
Philadelphia, PA 19104
(215) 662-6932
✔ PECOS✔ Accepts Medicare0.5 mi
See all 198 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 Trustees Of The University Of Pennsylvania's NPI number?

The NPI number for Trustees Of The University Of Pennsylvania is 1124882949. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Trustees Of The University Of Pennsylvania located?

Trustees Of The University Of Pennsylvania is located at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 662-8000.

What is Trustees Of The University Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Trustees Of The University Of Pennsylvania enrolled in Medicare?

Yes. Trustees Of The University Of Pennsylvania is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trustees Of The University Of Pennsylvania?

According to the CMS Revalidation Reassignment List (October 2026 release), 198 clinicians in 12 Medicare specialties reassign their Medicare billing to Trustees Of The University Of Pennsylvania. 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 Internal Medicine (76), Family Practice (52) and Nurse Practitioner (35). Of these, 12 practice at this address and 172 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trustees Of The University Of Pennsylvania was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.