UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1497767495
Internal Medicine - Geriatric Medicine in Philadelphia, PA

Active since August 12, 2006
3615 CHESTNUT ST, RALSTON-PENN CENTER, PHILADELPHIA, PA 19104(215) 662-2746(215) 349-5648 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1497767495) is a healthcare organization registered as a geriatric medicine in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1497767495
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameUNIVERSITY OF PENN - MEDICAL GROUP
Location Address3615 CHESTNUT ST, RALSTON-PENN CENTERPhiladelphia, PA 19104-2612
Mailing Address3615 Ralston Center, Ralston Penn CenterPhiladelphia, PA 19104-2612
Fax(215) 349-5648
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateAugust 12, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1497767495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
3615 CHESTNUT ST, Philadelphia, PA 19104

Other Identifiers 11

Other496703PA · Aetna
Other043052PA · Blue Shield
Other5466407NJ · Nj-medicaid
OtherG0005268PA · Americhoice
Medicaid0006610360PA
Other0270301000PA · Keystone
Other0002Y20116PA · Healthnet
Other1010530PA · Mercy
Other273211PA · Mamsi
Other11192PA · Health Partners
OtherCA0235PA · Rr Medicare

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST, RALSTON PENN CENTER
PHILADELPHIA, PA 19104
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Family Medicine (Geriatric Medicine)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST, RALSTON PENN CENTER
PHILADELPHIA, PA 19104
Family Medicine
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Family Medicine (Geriatric Medicine)
3615 CHESTNUT ST, RALSTON PENN CENTER
PHILADELPHIA, PA 19104
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST, RALSTON-PENN CENTER
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3615 CHESTNUT ST, RM 348
PHILADELPHIA, PA 19104

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 1497767495. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is University Of Penn - Medical Group located?

University Of Penn - Medical Group is located at 3615 Chestnut St Ralston-Penn Center, Philadelphia, PA 19104. The listed phone number is (215) 662-2746.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

What insurance does University Of Penn - Medical Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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.