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

NPI Status: Active since August 12, 2006

Contact Information

3615 CHESTNUT ST
RALSTON-PENN CENTER
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2746
Fax: (215) 349-5648

Get Directions Write a Review

  • Organization
  • Internal Medicine
  • Geriatric Medicine
  • Accepts Insurance

About UNIVERSITY OF PENN - MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for University Of Penn - Medical Group, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1497767495 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. University Of Penn - Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Chante L Jackson (Enrollment Lead)

NPI
1497767495
Provider Name
UNIVERSITY OF PENN - MEDICAL GROUP
Entity Type
Organization
Location Address
3615 CHESTNUT ST RALSTON-PENN CENTER PHILADELPHIA, PA 19104
Location Phone
(215) 662-2746
Location Fax
(215) 349-5648
Mailing Address
3615 RALSTON CENTER RALSTON PENN CENTER PHILADELPHIA, PA 19104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2006
Last Update Date
11-19-2020
Code Navigator

An internist like University Of Penn - Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHANTE L JACKSON

Authorized Official Title
ENROLLMENT LEAD
Authorized Official Phone
(215) 662-6187

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
496703OTHER (01)PAAETNA
043052OTHER (01)PABLUE SHIELD
5466407OTHER (01)NJNJ-MEDICAID
G0005268OTHER (01)PAAMERICHOICE
0006610360MEDICAID (05)PA 
0270301000OTHER (01)PAKEYSTONE
0002Y20116OTHER (01)PAHEALTHNET
1010530OTHER (01)PAMERCY
273211OTHER (01)PAMAMSI
11192OTHER (01)PAHEALTH PARTNERS
CA0235OTHER (01)PARR MEDICARE

Reviews for UNIVERSITY OF PENN - MEDICAL GROUP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497767495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 4 + 6 + 1 + 4 + 4 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1497767495.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST, RAISTON PENN CENTER
PHILADELPHIA, PA 19104
Internal 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
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST, RALSTON PENN CENTER
PHILADELPHIA, PA 19104
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Gerontology)
3615 CHESTNUT ST, RALSTON-PENN CENTER
PHILADELPHIA, PA 19104
Internal 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
Family Medicine
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Neonatal)
3615 CHESTNUT ST, RALSTON-PENN CENTER
PHILADELPHIA, PA 19104
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Gerontology)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
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
3615 CHESTNUT ST, ROOM 226
PHILADELPHIA, PA 19104
Internal Medicine (Geriatric Medicine)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Gerontology)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Primary Care)
3615 CHESTNUT ST
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497767495, enumerated as an "organization" on August 12, 2006.

The provider is located at 3615 CHESTNUT ST RALSTON-PENN CENTER PHILADELPHIA, PA 19104 and the phone number is (215) 662-2746.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.