OrganizationActive
Upenn Life
NPI 1053576835 · Health Maintenance Organization · Philadelphia, PA
Upenn Life is a Health Maintenance Organization organization in Philadelphia, PA (NPI 1053576835).
Provider details
- NPI number
- 1053576835
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Upenn School of Nursing
- Organization subpart
- Yes
- Authorized official
- Bruce Kinosian, Medical Director(215) 573-7200
- License
- MD421701 (PA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4508 Chestnut St
Philadelphia, PA 19139-3608
Phone: (215) 573-7200
Street-level locationGet directions
Mailing address
4508 Chestnut St
Philadelphia, PA 19139-3608
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2008-07-22
Frequently asked questions
- What is Upenn Life's NPI number?
- Upenn Life's National Provider Identifier (NPI) is 1053576835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upenn Life?
- Upenn Life is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Upenn Life located?
- Upenn Life's practice location on file with NPPES is 4508 Chestnut St, Philadelphia, PA 19139-3608.
- What is Upenn Life's phone number?
- The practice phone number listed in the NPPES registry for Upenn Life is (215) 573-7200.
- Who is the authorized official for Upenn Life?
- The authorized official listed on Upenn Life's NPPES record is Bruce Kinosian, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upenn Life's NPI active?
- Yes — Upenn Life's NPI (1053576835) is active in the NPPES registry as of the last update on 2008-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.