UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1285022202
Internal Medicine - Sports Medicine in Philadelphia, PA

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

The NPI number for University Of Penn-Medical Group is 1285022202. It was assigned to this organization in the NPPES registry on December 29, 2014.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Active since December 29, 2014

3737 MARKET ST, 9TH FLOOR, PHILADELPHIA, PA 19104(215) 662-8777 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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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 1285022202) is a healthcare organization registered as a sports medicine in Philadelphia, Pennsylvania and active in the NPI registry since December 2014. The organization lists Chante L Jackson, Emrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1285022202

Entity TypeOrganization

Primary Taxonomy207RS0010X

Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP

Location Address3737 MARKET ST, 9TH FLOORPhiladelphia, PA 19104-5545

Mailing Address3737 Market St, 9th FloorPhiladelphia, PA 19104-5545 · (215) 662-8777

Phone(215) 662-8777

Organization SubpartNo

Authorized OfficialChante L JacksonEmrollment Lead · (215) 662-6187

Enumeration DateDecember 29, 2014

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1285022202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

3737 MARKET ST, Philadelphia, PA 19104

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

3,478

Medicare enrollment records show 3,478 clinicians reassign Medicare billing to University Of Penn-Medical Group, which bills Medicare for the services they deliver. Of these, 117 practice at this address and 2,606 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner671

Diagnostic Radiology370

Certified Registered Nurse Anesthetist (CRNA)279

Anesthesiology196

Emergency Medicine196

Neurology153

Pathology127

Obstetrics/Gynecology118

57 other specialties1,368

Nearest to this location (20)

See all 3,478

Matthew Astolfi, MD

Orthopedic Surgery

NPI 1346804135

3737 MARKET ST FL 6
Philadelphia, PA 19104

(248) 551-3140

✔ PECOS✔ Accepts MedicareSame address

Barzin Bagheri Behzad, MD

Diagnostic Radiology

NPI 1700230414

3737 MARKET ST 8TH FL
Philadelphia, PA 19104

(215) 294-9522

✔ PECOS✔ Accepts MedicareSame address

Timothy Buckey, MD

Allergy/Immunology

NPI 1669032355

3737 MARKET ST FL 3
Philadelphia, PA 19104

(215) 662-2775

✔ PECOS✔ Accepts MedicareSame address

Ilan Caplan, MD

Family Practice

NPI 1720522857

3737 MARKET ST FL 9
Philadelphia, PA 19104

(215) 662-8777

✔ PECOS✔ Accepts MedicareSame address

Megan Carullo, CRNP

Nurse Practitioner

NPI 1508324831

3737 MARKET ST STE 1220
Philadelphia, PA 19104

(610) 902-4989

✔ PECOS✔ Accepts MedicareSame address

Tiffany Chao, MD

Otolaryngology

NPI 1982090452

3737 MARKET ST FL 3
Philadelphia, PA 19104

(215) 662-9900

✔ PECOS✔ Accepts MedicareSame address

Rachel Dayno, MD

Rheumatology

NPI 1063943355

3737 MARKET STREET 8TH FLOOR
Philadelphia, PA 19104

(215) 662-4333

✔ PECOS✔ Accepts MedicareSame address

Dana Direnzo, M.D.

Internal Medicine

NPI 1144563164

3737 MARKET ST FL 8
Philadelphia, PA 19104

(215) 662-4333

✔ PECOS✔ Accepts MedicareSame address

Joseph Geist, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1760737043

3737 MARKET ST 5TH FL
Philadelphia, PA 19104

(215) 349-8310

✔ Accepts MedicareSame address

Emily Hejazi, M.D.

Dermatology

NPI 1972917524

3737 MARKET ST FL 11
Philadelphia, PA 19104

(215) 662-8060

✔ PECOS✔ Accepts MedicareSame address

Paul Hernandez, M.D.

Colorectal Surgery (Proctology)

NPI 1609261171

3737 MARKET STREET 4TH FLOOR
Philadelphia, PA 19104

(215) 662-8664

✔ PECOS✔ Accepts MedicareSame address

Sami Khella, MD

Neurology

NPI 1124011473

3737 MARKET ST 8TH FLOOR
Philadelphia, PA 19104

(215) 662-3606

✔ PECOS✔ Accepts MedicareSame address

Michael Kinson, MD

Obstetrics/Gynecology

NPI 1275827644

3737 MARKET ST STE 1220
Philadelphia, PA 19104

(610) 902-4989

✔ PECOS✔ Accepts MedicareSame address

Hannah Lee, MD

Hand Surgery

NPI 1962817148

3737 MARKET ST FL 6
Philadelphia, PA 19104

(215) 662-3340

✔ PECOS✔ Accepts MedicareSame address

Catherine Liebman, D.O.

Osteopathic Manipulative Medicine

NPI 1699080267

3737 MARKET ST FL 9
Philadelphia, PA 19104

(215) 662-8777

✔ PECOS✔ Accepts MedicareSame address

Shang Loh, MD

General Surgery

NPI 1659459543

3737 MARKET ST FL 4
Philadelphia, PA 19104

(215) 662-9660

✔ PECOS✔ Accepts MedicareSame address

Brittany Mays, MD

Physical Medicine and Rehabilitation

NPI 1689107724

3737 MARKET STREET 8TH FLOOR
Philadelphia, PA 19104

(414) 467-8551

✔ PECOS✔ Accepts MedicareSame address

Phillip Pierorazio, MD

Urology

NPI 1528182003

3737 MARKET ST FL 4
Philadelphia, PA 19104

(215) 662-8699

✔ PECOS✔ Accepts MedicareSame address

Berje Shammassian

Neurosurgery

NPI 1518385988

3737 MARKET STREET 8TH FLOOR
Philadelphia, PA 19104

(610) 212-1390

✔ PECOS✔ Accepts MedicareSame address

Michelle Barcus, CNM

Certified Nurse Midwife (CNM)

NPI 1538475124

3701 MARKET ST 3RD FLOOR
Philadelphia, PA 19104

(215) 615-6039

✔ PECOS✔ Accepts MedicareSame address

See all 3,478 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 1285022202. It was assigned to this organization in the NPPES registry on December 29, 2014.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3737 Market St 9th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-8777.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

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), 3,478 clinicians in 65 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 (671), Diagnostic Radiology (370) and Certified Registered Nurse Anesthetist (CRNA) (279). Of these, 117 practice at this address and 2,606 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 and Oscar Health 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 November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.