UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1679677975
Internal Medicine - Hematology & Oncology in Philadelphia, PA

Active since September 08, 2006
3400 CIVIC CENTER BLVD, 2ND FLOOR, PHILADELPHIA, PA 19104(215) 615-5858 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 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 1679677975) is a healthcare organization registered as a hematology & oncology in Philadelphia, Pennsylvania and active in the NPI registry since September 2006. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1679677975
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP
Location Address3400 CIVIC CENTER BLVD, 2ND FLOORPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 2nd FloorPhiladelphia, PA 19104-5127 · (215) 615-5858
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateSeptember 8, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1679677975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Other Identifiers 11

Other0002Y20116PA · Healthnet
OtherG00031630PA · Americhoice
Medicaid0006610360PA
Other0351401000PA · Keystone
Other496685PA · Aetna
OtherCA0235PA · Rr Medicare
Other10743PA · Healthpartners
Medicaid5517907NJ
Other1010825PA · Mercy
Other140847PA · Blue Shield
Other273218PA · Mamsi

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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
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 1679677975. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3400 Civic Center Blvd 2nd Floor, Philadelphia, PA 19104. The listed phone number is (215) 615-5858.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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 with the weekly NPPES data releases published by CMS.