UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1629181912
Internal Medicine - Nephrology 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 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
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 12
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
412Medicare enrollment records show 412 clinicians reassign Medicare billing to University Of Penn - Medical Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 344 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 412Philadelphia, 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 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.
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), 412 clinicians in 18 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 (140), Pulmonary Disease (71) and Nephrology (58). Of these, 4 practice at this address and 344 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, 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 16 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.
# University Of Penn - Medical Group · NPI 1629181912
Nephrology organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1629181912 (Entity type: Organization)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Chante Jackson, ENROLLMENT LEAD
## Practice location
- **Address:** 3737 MARKET ST FL 12, Philadelphia, PA 19104-5545
- **Phone:** (215) 662-8730 · **Fax:** (215) 294-9032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 412 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (140), Pulmonary Disease (71), Nephrology (58); 4 practice at this address and 344 within 10 miles; [full list](https://npiprofile.com/npi/1629181912/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2025
- **Other identifiers:** Other 5484103 (NJ); Other 0002Y20116 (PA); Medicaid 0006610360 (PA); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629181912) · Data from the CMS NPPES public registry.