University of Penn - Medical Group
Organization Active NPI Hospitalist Physician · Philadelphia, PA
NPI 1053447151 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1053447151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- UNIVERSITY OF PENN - MEDICAL GROUP
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4206 - Phone
- (215) 662-4000
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Stacy Greco
- Title
- Payer Enrollment Manager
- Phone
- (223) 341-8516
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 14
Practitioners 3,843
-
Parul Agarwal, MD
-
Amanda Albrecht, MD
-
Sokratis Apostolidis, M.D.
-
Soussan Ayubcha, MD
-
Tara Azizi, NP-C
-
Archna Bajaj, MD
-
Todd D Barton, MD
-
Gary Alan Bass, MD
-
Nadia L Bennett, MD
-
Gretchen Bernatowicz, DNP, FNP-C, CRNP
-
Joel Sam Betesh, MD
-
Amber-Nicole Bird, M.D.
-
Remy Bremner, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150304001436 | PA | Part B Supplier - Clinic/Group Practice | 6204730955 |
Receives reassigned benefits from 818 practitioners 3 other NPIs on this enrollment Practice locations: Radnor, PA; Radnoe, PA; Philadelphia, PA |
National Provider Directory
Locations
3701 Market St
Ste 370
Philadelphia, PA 19104
Phone (215) 615-3232
1800 Lombard St
Fl 5
Philadelphia, PA 19146
Phone (215) 893-2254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4206
Mailing address
3600 Civic Center Blvd # 300E
Philadelphia, PA 19104-4310
Phone (215) 662-2286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053945000 | Other | PA | KEYSTONE |
| CA0235 | Other | PA | RAILROAD |
| 147249 | Other | PA | BLUE SHIELD |
| 40063 | Other | PA | KEYSTONE MERCY |
| 5543509 | Medicaid | NJ | |
| 0002Y20116 | Other | PA | HEALTHNET |
| 0006610360 | Medicaid | PA | |
| 003473 | Other | PA | AETNA |
| 06638 | Other | PA | HEALTHPARTNERS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Philadelphia, PA
- University Neurosurgical, PC
- University of Penn - Anesthesia
- University of Penn - Dermatology
- University of Penn - Dermatology
- University of Penn - Medical Group
- University of Penn - Medical Group
- University of Penn - Medical Group
- University of Penn - Medical Group
- University of Penn - Medical Group
- University of Penn - Medical Group
All providers in Philadelphia, PA · Hospitalist Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.