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UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1629181912
Internal Medicine - Nephrology in Philadelphia, PA

Active since August 17, 2006
3737 MARKET ST FL 12, PHILADELPHIA, PA 19104(215) 662-8730(215) 294-9032 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2025, Nov 19, 2020 (2 updates tracked since 2020).

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 1629181912) is a healthcare organization registered as a nephrology in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Philadelphia and lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1629181912
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameUNIVERSITY OF PENN - MEDICAL GROUP
Location Address3737 MARKET ST FL 12Philadelphia, PA 19104-5545
Mailing Address3400 Spruce St, 210 BldgPhiladelphia, PA 19104-4206 · (215) 662-2638
Phone(215) 662-8730
Fax(215) 294-9032
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1629181912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
3737 MARKET ST FL 12, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 13400 Spruce St, 210 White BuildingPhiladelphia, PA 19104-4206 · Phone (215) 662-2638

Other Identifiers 12

Other5484103NJ · Nj-medicaid
Other0002Y20116PA · Healthnet
Medicaid0006610360PA
Other10791PA · Healthpartners
Other273252PA · Mamsi
OtherCA0235PA · Rr Medicare
OtherG00031680PA · Americhoice
Other020255499PA · Eeioc
Other140770PA · Blue Shield
Other496714PA · Aetna
Other1010964PA · Mercy
Other0176009000PA · Keystone

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 ›

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 1629181912. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is University Of Penn - Medical Group located?

University Of Penn - Medical Group is located at 3737 Market St Fl 12, Philadelphia, PA 19104. The listed phone number is (215) 662-8730.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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 June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.