Organization Active NPI

University of Pennsylvania Medical Group

  • Cardiovascular Disease Physician
  • Phila, PA
National Provider Identifier
1699640433
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
UNIVERSITY OF PENNSYLVANIA MEDICAL GROUP
Practice address
3400 Spruce St
Phila, PA 19104-4238
Phone
(215) 829-5064
Fax
(215) 829-3081
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Barbara Martin, SUPERVISOR FINANCIAL
Title
Supervisor
Phone
(445) 258-6376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3400 Spruce St
Phila, PA 19104-4238

Mailing address

1500 Market St
Phila, PA 19102-2100
Phone (215) 829-5064

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1699640433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-829-5064",
            "fax_number": "215-829-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-829-5064",
            "fax_number": "215-829-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PENNSYLVANIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "445-258-6376",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SUPERVISOR FINANCIAL"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.