UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1568579266
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA

Active since August 25, 2006
3400 SPRUCE ST, 1 MALONEY, PHILADELPHIA, PA 19104(215) 662-2300 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 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 1568579266) is a healthcare organization registered as an endocrinology, diabetes & metabolism 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

NPI1568579266
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameUNIVERSITY OF PENN - MEDICAL GROUP
Location Address3400 SPRUCE ST, 1 MALONEYPhiladelphia, PA 19104-4206
Mailing Address3400 Market St, 1 Maloney BldgPhiladelphia, PA 19104-3306
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateAugust 25, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1568579266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 11

Other496680PA · Aetna
Other0346863000PA · Keystone
Other5505101NJ · Nj-medicaid
Other10809PA · Healthpartners
Other273188PA · Mamsi
Other63533PA · Blue Shield
Other0002Y20116PA · Healthnet
Medicaid0006610360PA
Other1012794PA · Mercy
OtherCA0235PA · Rr Medicare
OtherG00031660PA · Americhoice

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
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 1568579266. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is University Of Penn - Medical Group located?

University Of Penn - Medical Group is located at 3400 Spruce St 1 Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-2300.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.