University of Penn-Medical Group
NPI 1558759571 · Diagnostic Radiology Physician · Philadelphia, PA
University of Penn-Medical Group is a Diagnostic Radiology Physician organization in Philadelphia, PA (NPI 1558759571).
Provider details
- NPI number
- 1558759571
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chante Jackson, Enrollment Lead(215) 662-6187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nuclear Medicine Physician207U00000X
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
- Pediatric Radiology Physician2085P0229X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2014-12-29
- 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 1558759571, 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 Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- 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 (215) 662-3005.
- 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 (1558759571) 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.