UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1912014614
Medical Genetics - Clinical Genetics (M.D.) 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 1912014614) is a healthcare organization registered as a clinical genetics (m.d.) in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 11
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
14Medicare enrollment records show 14 clinicians reassign Medicare billing to University Of Penn - Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (14)
Philadelphia, PA 19104
Philadelphia, 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 1912014614. It was assigned to this organization in the NPPES registry on August 25, 2006.
Where is University Of Penn - Medical Group located?
University Of Penn - Medical Group is located at 3400 Spruce St One Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-4740.
What is University Of Penn - Medical Group's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
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), 14 clinicians in 7 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 Pediatric Medicine (4), Internal Medicine (3) and Medical Genetics and Genomics (2). Of these, 1 practice at this address and 11 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.
# University Of Penn - Medical Group · NPI 1912014614
Clinical Genetics (M.D.) organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1912014614 (Entity type: Organization)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **Organization subpart:** No
- **Authorized official:** Chante Jackson, ENROLLMENT LEAD
## Practice location
- **Address:** 3400 SPRUCE ST, ONE MALONEY, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-4740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (4), Internal Medicine (3), Medical Genetics and Genomics (2); 1 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2020
- **Other identifiers:** Other 980167 (PA); Other 0002Y20116 (PA); Medicaid 0006610360 (PA); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912014614) · Data from the CMS NPPES public registry.