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: October 18, 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

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

371

Medicare enrollment records show 371 clinicians reassign Medicare billing to University Of Penn-Medical Group, which bills Medicare for the services they deliver. Of these, 63 practice at this address and 286 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner177
Hematology/Oncology106
Medical Oncology30
Internal Medicine29
Hematology10
Hospitalist4
Radiation Oncology4
General Surgery3
6 other specialties8

Nearest to this location (20)

See all 371
Nurse Practitioner
NPI 1427822824
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 316-5151
✔ PECOSSame address
Medical Oncology
NPI 1891084000
3400 CIVIC CENTER BOULEVARD 2 WEST
Philadelphia, PA 19104
(215) 615-0063
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1023403573
3400 CIVIC CENTER BOULEVARD 10TH FLOOR PERELMAN CENTER
Philadelphia, PA 19104
(215) 662-3681
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1316309578
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 615-0063
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497255723
3400 CIVIC CENTER BLVD 2 WEST
Philadelphia, PA 19104
(215) 615-0063
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366763310
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 439-2500
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1104027218
3400 CIVIC CENTER BOULEVARD, 3RD FLOOR, WEST PAVILION
Philadelphia, PA 19104
(215) 615-5858
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1215240932
3400 CIVIC CENTER BLVD FL 10
Philadelphia, PA 19104
(215) 360-0713
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326314337
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 360-0737
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1124057021
3400 CIVIC CENTER BOULEVARD
Philadelphia, PA 19104
(215) 615-5858
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1639146939
3400 CIVIC CENTER BOULEVARD
Philadelphia, PA 19104
(215) 615-5858
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1306126644
3400 CIVIC CENTER BOULEVARD
Philadelphia, PA 19104
(215) 615-5858
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1407873219
3400 CIVIC CENTER BLVD PERELMAN CENTER FOR ADVANCED MEDICINE, TRC 2 WEST
Philadelphia, PA 19104
(215) 662-2428
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1548249287
3400 CIVIC CENTER BLVD. CONCOURSE LEVEL
Philadelphia, PA 19104
(215) 662-2428
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093072134
3400 CIVIC CENTER BLVD 3RD FL PAVILION
Philadelphia, PA 19104
(215) 662-6318
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1033568753
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
(267) 961-9282
✔ PECOSSame address
Hospitalist
NPI 1962962506
3400 CIVIC CENTER BLVD PERELMAN CENTER, 12TH FLOOR, SOUTH PAVILLION EXTENSION
Philadelphia, PA 19104
(215) 662-4000
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1689638983
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 615-5858
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1811152796
3400 CIVIC CENTER BLVD. 1ST FLOOR
Philadelphia, PA 19104
(215) 662-2454
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1073716437
3400 CIVIC CENTER BLVD FL 3
Philadelphia, PA 19104
(215) 615-5858
✔ PECOS✔ Accepts MedicareSame address
See all 371 clinicians

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 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.

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), 371 clinicians in 14 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 (177), Hematology/Oncology (106) and Medical Oncology (30). Of these, 63 practice at this address and 286 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 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.