UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1558759571
Radiology - Diagnostic Radiology in Philadelphia, PA

Q: What is University Of Penn-Medical Group's NPI number?

The NPI number for University Of Penn-Medical Group is 1558759571. It was assigned to this organization in the NPPES registry on December 29, 2014.

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

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since December 29, 2014

3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104(215) 662-3005 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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 1558759571) is a healthcare organization registered as a diagnostic radiology 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

NPI1558759571

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP

Location Address3400 SPRUCE ST, GROUND FLOOR DULLESPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce St, Ground Floor DullesPhiladelphia, PA 19104-4238 · (215) 662-3005

Phone(215) 662-3005

Organization SubpartNo

Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187

Enumeration DateDecember 29, 2014

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1558759571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedNuclear MedicineTaxonomy 207U00000X

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

3400 SPRUCE ST, Philadelphia, PA 19104

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

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 1558759571. 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 Spruce St Ground Floor Dulles, Philadelphia, PA 19104. The listed phone number is (215) 662-3005.

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

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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) 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.