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NPI · 1912014614 · NPPES-sourced

University Of Penn - Medical Group

ActiveClinical Genetics (M.D.) Physician
NPI Number
1912014614
Type 2 · Organisation
Taxonomy Code
207SG0201X
Contact
(215) 662-4740
Primary practice line
Last Updated
Enumerated
Primary practice addressPA · 19104-4206
3400 Spruce St, One MaloneyPhiladelphia, PA 19104-4206
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About this NPIWhat this record shows.

NPI 1912014614 is registered to University Of Penn - Medical Group, a healthcare organisation classified as "Clinical Genetics (M.D.) Physician" and located at 3400 Spruce St, One Maloney in Philadelphia, Pennsylvania. The organisation's authorised official is Chante Jackson. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 0053945000PA· Issued by KEYSTONE
  • 1061396PA· Issued by MERCY
  • CA0235PA· Issued by RR MEDICARE
  • 0002Y20116PA· Issued by HEALTHNET
  • 147249PA· Issued by BLUE SHIELD
  • 980167PA· Issued by AETNA
  • 26256PA· Issued by HEALTHPARTNERS
  • 273231PA· Issued by MAMSI
  • 7768508NJ· Issued by NJ-MEDICAID
  • G00053120PA· Issued by AMERICHOICE

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans University Of Penn - Medical Group accepts. To confirm in-network status with your specific health plan, contact University Of Penn - Medical Group directly at (215) 662-4740.

Frequently asked

Yes. NPI 1912014614 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Genetics (M.D.) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (215) 662-4740.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. University Of Penn - Medical Group is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207SG0201X
Last updated
Enumerated
StatusActive
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7 records · same addressOther providers at this location.

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Same specialtyOther Clinical Genetics (M.D.) Physician providers in Pennsylvania.

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