University of Penn-Medical Group

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

UNIVERSITY OF PENN-MEDICAL GROUP

Practice address

3400 Civic Center Blvd
3 West Pavillion
Philadelphia, PA 19104-5127

Phone

(215) 615-5858

NPI assigned

Dec 26, 2014

Last updated

Nov 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chante L Jackson

Title

Enrollment Lead

Phone

(215) 662-6187

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 48

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of Penn - Medical Group

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1093725145

  O20150221000256

  Same enrollment
• University of Penn - Medical Group

  • Clinical Genetics (M.D.) Physician
  • Philadelphia, PA
  • NPI 1184430258

  O20141111000091

  Same enrollment
• University of Penn - Medical Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Doylestown, PA
  • NPI 1538056163

  O20141111000091

  Same enrollment
• University of Penn - Medical Group

  • Allergy & Immunology Physician
  • Philadelphia, PA
  • NPI 1659488351

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1033507157

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Dermatopathology Physician
  • Philadelphia, PA
  • NPI 1073902169

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Hospitalist Physician
  • Philadelphia, PA
  • NPI 1083002000

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Colon & Rectal Surgery Physician
  • Philadelphia, PA
  • NPI 1154719276

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1164810271

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Clinical Medical Laboratory
  • Philadelphia, PA
  • NPI 1184012569

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Plastic Surgery Physician
  • Philadelphia, PA
  • NPI 1194113118

  O20141111000091

  Same enrollment
• University of Penn-Medical Group

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1225426331

  O20141111000091

  Same enrollment

Locations (25 of 57)

Practitioners 5,632

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Olivia Aakhus, M.D.

  • Hematology & Oncology Physician
  • Philadelphia, PA
  • NPI 1255652087
  NPD
• Whitley Aamodt, M.D.

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1598152944
  NPD
• Ariane Abadi, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1619641685
  NPD
• Dahomey Abanishe, PH.D.

  • Psychologist
  • Philadelphia, PA
  • NPI 1629373519
  NPD
• Albert Abbo, CRNP

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
  • NPI 1801496575
  NPD
• Elizabeth O Abbott, CRNP

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1598901902
  NPD
• Megan E Abbott, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1396771689
  NPD
• Patricia Kathleen Abbott, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
  • NPI 1316011018
  NPD
• Michael Elias Abboud, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1962820852
  NPD
• Soo H Abboud, MD

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1821033440
  NPD
• Annabelle Abdo, DO

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
  • NPI 1518583665
  NPD
• Shahrzad Abdollahi, M.D.

  • Rheumatology Physician
  • Philadelphia, PA
  • NPI 1518494178
  NPD

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1871981985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "3 WEST PAVILLION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "3 WEST PAVILLION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PENN-MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHANTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ENROLLMENT LEAD",
        "authorized_official_telephone_number": "215-662-6187"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• 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
• University of Penn-Medical Group
• University of Penn-Medical Group
• University of Penn-Neurology Assts.
• University of Penn-PA Trauma

• Surgical Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Surgical Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.