IMPACT COMMUNITY MEDICINE PA
NPI 1396636023
Clinic/Center - Primary Care in Philadelphia, PA
About Impact Community Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT COMMUNITY MEDICINE PA (NPI 1396636023) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since July 2025. The organization lists Jennifer Tunning, Vp Of Clinical Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Community Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Community Medicine PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Impact Community Medicine PA's NPI number?
The NPI number for Impact Community Medicine PA is 1396636023. It was assigned to this organization in the NPPES registry on July 11, 2025.
Where is Impact Community Medicine PA located?
Impact Community Medicine PA is located at 2929 Arch St Ste 1700, Philadelphia, PA 19104. The listed phone number is (610) 628-2004.
What is Impact Community Medicine PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Impact Community Medicine PA enrolled in Medicare?
Yes. Impact Community Medicine PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Community Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Impact Community Medicine PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Impact Community Medicine PA was last updated on August 1, 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.
# Impact Community Medicine Pa · NPI 1396636023
Primary Care organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since July 11, 2025.
## Identity
- **NPI:** 1396636023 (Entity type: Organization)
- **Enumerated:** July 11, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jennifer Tunning, VP OF CLINICAL OPERATIONS
## Practice location
- **Address:** 2929 ARCH ST STE 1700, Philadelphia, PA 19104-7327
- **Phone:** (610) 628-2004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396636023) · Data from the CMS NPPES public registry.