University of Penn-Medical Group
NPI 1184012569 · Clinical Medical Laboratory · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
University of Penn-Medical Group is a Clinical Medical Laboratory organization in Philadelphia, PA (NPI 1184012569).
Provider details
- NPI number
- 1184012569
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Chante Jackson, Enrollment Lead(215) 662-6187
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
78,577 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 10,922 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 7,439 | $13 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 5,691 | $16 |
| Hemoglobin A1c Level83036 | 5,583 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 5,178 | $8 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test85027 | 4,185 | $6 |
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Uppl-Univ of Penn Pathology Labs
- Other name
- Uppl-Univ of Penn Pathology Labs
Registry dates
- Enumerated
- 2015-01-07
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Frequently asked questions
- What is University of Penn-Medical Group's NPI number?
- University of Penn-Medical Group's National Provider Identifier (NPI) is 1184012569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University of Penn-Medical Group?
- University of Penn-Medical Group is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is University of Penn-Medical Group located?
- University of Penn-Medical Group's practice location on file with NPPES is 3400 Spruce St, Philadelphia, PA 19104-4238.
- What is University of Penn-Medical Group's phone number?
- The practice phone number listed in the NPPES registry for University of Penn-Medical Group is (800) 736-6522.
- Does University of Penn-Medical Group accept Medicare?
- University of Penn-Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for University of Penn-Medical Group?
- The authorized official listed on University of Penn-Medical Group's NPPES record is Chante Jackson, Enrollment Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University of Penn-Medical Group's NPI active?
- Yes — University of Penn-Medical Group's NPI (1184012569) is active in the NPPES registry as of the last update on 2020-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.