UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1871981985
Surgery - Surgical Oncology in Philadelphia, PA

Active since December 26, 2014
3400 CIVIC CENTER BLVD, 3 WEST PAVILLION, PHILADELPHIA, PA 19104(215) 615-5858 Get Directions Write a Review

NPPES record last updated: November 20, 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 1871981985) is a healthcare organization registered as a surgical oncology in Philadelphia, Pennsylvania and active in the NPI registry since December 2014. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1871981985
Entity TypeOrganization
Primary Taxonomy2086X0206X
Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP
Location Address3400 CIVIC CENTER BLVD, 3 WEST PAVILLIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 3 West PavillionPhiladelphia, PA 19104-5127 · (215) 615-5858
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateDecember 26, 2014
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1871981985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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

3,729

Medicare enrollment records show 3,729 clinicians reassign Medicare billing to University Of Penn-Medical Group, which bills Medicare for the services they deliver. Of these, 264 practice at this address and 2,818 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Nurse Practitioner777
Diagnostic Radiology370
Certified Registered Nurse Anesthetist (CRNA)279
Anesthesiology196
Emergency Medicine196
Neurology153
Pathology127
Obstetrics/Gynecology118
59 other specialties1,513

Nearest to this location (20)

See all 3,729
Neurosurgery
NPI 1033386792
3400 CIVIC CENTER BLVD 2ND FLR SOUTH PAVILION
Philadelphia, PA 19104
(215) 662-3487
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1649689811
3400 CIVIC CENTER BLVD 2 EAST PAVILION
Philadelphia, PA 19104
(215) 662-7700
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1922489111
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 662-2737
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1235364423
3400 CIVIC CENTER BLVD TRC 2 WEST,
Philadelphia, PA 19104
(215) 662-2428
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1265579254
3400 CIVIC CENTER BLVD WEST PAVILION 3RD FLOOR
Philadelphia, PA 19104
(215) 662-2891
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1366897431
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-7300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497153472
3400 CIVIC CENTER BLVD 2 SOUTH
Philadelphia, PA 19104
(215) 615-0718
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1265644967
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-7300
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1942241674
3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION
Philadelphia, PA 19104
(215) 662-3606
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558707505
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-3580
✔ PECOS✔ Accepts MedicareSame address
Advanced Heart Failure and Transplant Cardiology
NPI 1275897746
3400 CIVIC CENTER BLVD 2 EAST
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1881073245
3400 CIVIC CENTER BLVD PERELMAN CTR 10TH FL S
Philadelphia, PA 19104
(215) 662-3318
✔ PECOS✔ Accepts MedicareSame address
Adult Congenital Heart Disease (ACHD)
NPI 1952573842
3400 CIVIC CENTER BOULEVARD EAST PAVILION, 2ND FLOOR
Philadelphia, PA 19104
(215) 615-4949
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1285207266
3400 CIVIC CENTER BLVD STE 3
Philadelphia, PA 19104
(215) 662-3827
✔ Accepts MedicareSame address
General Surgery
NPI 1548651136
3400 CIVIC CENTER BLVD FL 4
Philadelphia, PA 19104
(215) 662-2626
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1073873022
3400 CIVIC CENTER BLVD WEST PAVILION 1ST FLR
Philadelphia, PA 19104
(215) 615-5864
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1366060220
3400 CIVIC CENTER BLVD FL 2
Philadelphia, PA 19104
(215) 662-3606
✔ PECOS✔ Accepts MedicareSame address
Medical Genetics and Genomics
NPI 1639433220
3400 CIVIC CENTER BLVD. 1ST FLR, STE 300S
Philadelphia, PA 19104
(215) 662-4710
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1083077952
3400 CIVIC CENTER BLVD FL 3
Philadelphia, PA 19104
(215) 662-3318
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447768379
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 349-8310
✔ Accepts MedicareSame address
See all 3,729 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 1871981985. It was assigned to this organization in the NPPES registry on December 26, 2014.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3400 Civic Center Blvd 3 West Pavillion, 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 Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

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), 3,729 clinicians in 67 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 (777), Diagnostic Radiology (370) and Certified Registered Nurse Anesthetist (CRNA) (279). Of these, 264 practice at this address and 2,818 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 20, 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.