UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1497767495
Internal Medicine - Geriatric Medicine in Philadelphia, PA
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
Specialties & Licenses 4
Other Identifiers 11
Group Practice 1
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
39Medicare enrollment records show 39 clinicians reassign Medicare billing to University Of Penn - Medical Group, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 39Philadelphia, PA 19104
Philadelphia, PA 19104
Philadelphia, PA 19104
Philadelphia, PA 19104
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 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.
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), 39 clinicians in 6 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 (15), Geriatric Medicine (13) and Internal Medicine (7). Of these, 18 practice at this address and 31 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.
# University Of Penn - Medical Group · NPI 1497767495
Geriatric Medicine organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1497767495 (Entity type: Organization)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Chante Jackson, ENROLLMENT LEAD
## Practice location
- **Address:** 3615 CHESTNUT ST, RALSTON-PENN CENTER, Philadelphia, PA 19104-2612
- **Phone:** (215) 662-2746 · **Fax:** (215) 349-5648
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Geriatric Medicine (13), Internal Medicine (7); 18 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1497767495/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2020
- **Other identifiers:** Other 496703 (PA); Other 043052 (PA); Other 5466407 (NJ); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1497767495) · Data from the CMS NPPES public registry.