University of Penn-Medical Group
Organization Active NPI Transplant Surgery Physician · Lancaster, PA
NPI 1902269210 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1902269210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Transplant Surgery Physician 204F00000X
- Legal business name
- UNIVERSITY OF PENN-MEDICAL GROUP
- Practice address
- 554 N Duke St
3Rd Floor
Lancaster, PA 17602-2225 - Phone
- (215) 662-6200
- Fax
- (215) 662-2244
- NPI assigned
- Apr 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Chante L Jackson
- Title
- Enrollment Lead
- Phone
- (215) 662-6187
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 23
Practitioners 4
-
Navdeep Kaur, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150221000124 | PA | Part B Supplier - Clinic/Group Practice | 6204730955 |
Receives reassigned benefits from 127 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Allentown, PA; Yardley, PA; Radnor, PA; Philadelphia, PA; Lancaster, PA |
National Provider Directory
- Tax ID family
- Cobius Healthcare Solutions
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician |
204F00000X | PA | Yes | |
| Surgery Physician |
208600000X | PA | ||
| Vascular Surgery Physician |
2086S0129X | PA |
Addresses
Primary practice location
554 N Duke St
3Rd Floor
Lancaster, PA 17602-2225
Mailing address
554 N Duke St
3Rd Floor
Lancaster, PA 17602-2225
Phone (215) 662-6200
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 Lancaster, PA
- United Family Health Care Services LLC
- Unitedhomecareservicesllc
- Universal Athletic Club
- University of Penn-Medical Group
- University of Penn-Medical Group
- Upmc Pinnacle Lancaster
- Upmc Pinnacle Lancaster
- Upmc Pinnacle Lancaster
- Upmc Pinnacle Lancaster
- Upper Class Home Care LLC
All providers in Lancaster, PA · Transplant Surgery 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 Nov 20, 2020. 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.