UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1316335425
Ophthalmology in Philadelphia, PA

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

The NPI number for University Of Penn-Medical Group is 1316335425. It was assigned to this organization in the NPPES registry on December 26, 2014.

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

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since December 26, 2014

3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR SUITE 3-144W, PHILADELPHIA, PA 19104(215) 614-4100 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

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 1316335425) is a healthcare organization registered as an ophthalmology in Philadelphia, Pennsylvania and active in the NPI registry since December 2014. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1316335425

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP

Location Address3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR SUITE 3-144WPhiladelphia, PA 19104-5127

Mailing Address3400 Civic Center Blvd, West Pavilion, 3rd Floor Suite 3-144wPhiladelphia, PA 19104-5127 · (215) 614-4100

Phone(215) 614-4100

Organization SubpartNo

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

Enumeration DateDecember 26, 2014

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1316335425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X

3400 CIVIC CENTER BLVD, 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

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, 232 practice at this address and 2,607 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

Nduka Amankulor, MD

Neurosurgery

NPI 1033386792

3400 CIVIC CENTER BLVD 2ND FLR SOUTH PAVILION
Philadelphia, PA 19104

(215) 662-3487

✔ PECOS✔ Accepts MedicareSame address

Emily Baumrin, M.D.

Dermatology

NPI 1922489111

3400 CIVIC CENTER BLVD
Philadelphia, PA 19104

(215) 662-2737

✔ PECOS✔ Accepts MedicareSame address

Abigail Berman, MD

Radiation Oncology

NPI 1235364423

3400 CIVIC CENTER BLVD TRC 2 WEST,
Philadelphia, PA 19104

(215) 662-2428

✔ PECOS✔ Accepts MedicareSame address

Trinity Bivalacqua, MD PHD

Urology

NPI 1265579254

3400 CIVIC CENTER BLVD WEST PAVILION 3RD FLOOR
Philadelphia, PA 19104

(215) 662-2891

✔ PECOS✔ Accepts MedicareSame address

William Brownell, DPM

Podiatry

NPI 1366897431

3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104

(215) 662-7300

✔ PECOS✔ Accepts MedicareSame address

Paris Butler, MD

Plastic and Reconstructive Surgery

NPI 1265644967

3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104

(215) 662-7300

✔ PECOS✔ Accepts MedicareSame address

Rebecca Calk

Nurse Practitioner

NPI 1518677350

3400 CIVIC CENTER BLVD
Philadelphia, PA 19104

(215) 316-5151

✔ PECOS✔ Accepts MedicareSame address

Brett Cucchiara, MD

Neurology

NPI 1942241674

3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION
Philadelphia, PA 19104

(215) 662-3606

✔ PECOS✔ Accepts MedicareSame address

Joseph Foote, DMD

Internal Medicine

NPI 1558707505

3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104

(215) 662-3580

✔ PECOS✔ Accepts MedicareSame address

Stefan Gysler, M.D. M.H.S.

Obstetrics/Gynecology

NPI 1881073245

3400 CIVIC CENTER BLVD PERELMAN CTR 10TH FL S
Philadelphia, PA 19104

(215) 662-3318

✔ PECOS✔ Accepts MedicareSame address

Gina Lerner, AU.D.

Qualified Audiologist

NPI 1285207266

3400 CIVIC CENTER BLVD STE 3
Philadelphia, PA 19104

(215) 662-3827

✔ Accepts MedicareSame address

Leslie Okorji

General Surgery

NPI 1548651136

3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104

(215) 662-2626

✔ PECOS✔ Accepts MedicareSame address

Jarrod Predina, MD

Thoracic Surgery

NPI 1073873022

3400 CIVIC CENTER BLVD WEST PAVILION 1ST FLR
Philadelphia, PA 19104

(215) 615-5864

✔ PECOS✔ Accepts MedicareSame address

Yinka Read, PSYD

Clinical Psychologist

NPI 1366060220

3400 CIVIC CENTER BLVD FL 2
Philadelphia, PA 19104

(215) 662-3606

✔ PECOS✔ Accepts MedicareSame address

Mersedeh Rohanizadegan, MD

Medical Genetics and Genomics

NPI 1639433220

3400 CIVIC CENTER BLVD. 1ST FLR, STE 300S
Philadelphia, PA 19104

(215) 662-4710

✔ PECOS✔ Accepts MedicareSame address

Anna Smith, MD

Gynecological Oncology

NPI 1083077952

3400 CIVIC CENTER BLVD FL 3
Philadelphia, PA 19104

(215) 662-3318

✔ PECOS✔ Accepts MedicareSame address

Megan Stathes, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1447768379

3400 CIVIC CENTER BLVD
Philadelphia, PA 19104

(215) 349-8310

✔ Accepts MedicareSame address

Nabil Thalji, M.D., PH.D.

Anesthesiology

NPI 1932630803

3400 CIVIC CENTER BLVD HOSPITAL OF THE UNIVERSITY OF PENN DEPT. OF ANESTHES
Philadelphia, PA 19104

(225) 773-1100

✔ PECOS✔ Accepts MedicareSame address

Anne Ades, MD

Pediatric Medicine

NPI 1154366524

3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY
Philadelphia, PA 19104

(215) 590-1944

✔ PECOSSame address

Savvas Andronikou, MD

Diagnostic Radiology

NPI 1174088074

3401 CIVIC CENTER BLVD DEPT 3NW41
Philadelphia, PA 19104

(267) 426-2140

✔ PECOSSame 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 1316335425. It was assigned to this organization in the NPPES registry on December 26, 2014.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3400 Civic Center Blvd West Pavilion, 3rd Floor Suite 3-144w, Philadelphia, PA 19104. The listed phone number is (215) 614-4100.

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

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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, 232 practice at this address and 2,607 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, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers 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.