University of Penn - Medical Group
NPI 1629181912 · Nephrology Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
University of Penn - Medical Group is a Nephrology Physician organization in Philadelphia, PA (NPI 1629181912).
Provider details
- NPI number
- 1629181912
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chante Jackson, Enrollment Lead(215) 662-6187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3400 Spruce St210 White BuildingPhiladelphia, PA 19104-4206Phone: (215) 662-2638
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is University of Penn - Medical Group's NPI number?
- University of Penn - Medical Group's National Provider Identifier (NPI) is 1629181912, 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 Nephrology 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 3737 Market St Fl 12, Philadelphia, PA 19104-5545.
- 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) 662-8730.
- 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 (1629181912) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.