UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1467840488
Radiology - Radiation Oncology in Philadelphia, PA

Active since December 29, 2014
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL, PHILADELPHIA, PA 19104(215) 662-2428 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 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 1467840488) is a healthcare organization registered as a radiation oncology 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

NPI1467840488
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP
Location Address3400 CIVIC CENTER BLVD, CONCOURSE LEVELPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, Concourse LevelPhiladelphia, PA 19104-5127 · (215) 662-2428
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateDecember 29, 2014
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1467840488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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

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
Neurosurgery
NPI 1033386792
3400 CIVIC CENTER BLVD 2ND FLR SOUTH PAVILION
Philadelphia, PA 19104
(215) 662-3487
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1922489111
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 662-2737
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1235364423
3400 CIVIC CENTER BLVD TRC 2 WEST,
Philadelphia, PA 19104
(215) 662-2428
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1265579254
3400 CIVIC CENTER BLVD WEST PAVILION 3RD FLOOR
Philadelphia, PA 19104
(215) 662-2891
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1366897431
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-7300
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1265644967
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-7300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518677350
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 316-5151
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1942241674
3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION
Philadelphia, PA 19104
(215) 662-3606
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558707505
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-3580
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1881073245
3400 CIVIC CENTER BLVD PERELMAN CTR 10TH FL S
Philadelphia, PA 19104
(215) 662-3318
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1285207266
3400 CIVIC CENTER BLVD STE 3
Philadelphia, PA 19104
(215) 662-3827
✔ Accepts MedicareSame address
General Surgery
NPI 1548651136
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-2626
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1073873022
3400 CIVIC CENTER BLVD WEST PAVILION 1ST FLR
Philadelphia, PA 19104
(215) 615-5864
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1366060220
3400 CIVIC CENTER BLVD FL 2
Philadelphia, PA 19104
(215) 662-3606
✔ PECOS✔ Accepts MedicareSame address
Medical Genetics and Genomics
NPI 1639433220
3400 CIVIC CENTER BLVD. 1ST FLR, STE 300S
Philadelphia, PA 19104
(215) 662-4710
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1083077952
3400 CIVIC CENTER BLVD FL 3
Philadelphia, PA 19104
(215) 662-3318
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447768379
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 349-8310
✔ Accepts MedicareSame address
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
Pediatric Medicine
NPI 1154366524
3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY
Philadelphia, PA 19104
(215) 590-1944
✔ PECOSSame address
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 1467840488. 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 3400 Civic Center Blvd Concourse Level, Philadelphia, PA 19104. The listed phone number is (215) 662-2428.

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

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

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, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer 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.