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University of Penn - Medical Group

Geriatric Medicine (Internal Medicine) Physician in Philadelphia, PA · enumerated 2006 · authorized official Chante Jackson, Enrollment Lead.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497767495

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Registry record

Entity type Organization (Type 2)
Legal business name University of Penn - Medical Group
Practice address 3615 Chestnut St, Ralston-Penn Center, Philadelphia, PA, 19104
Fax (215) 349-5648
Enumeration date Aug 12, 2006
Last updated in NPPES Nov 19, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Chante Jackson
Title Enrollment Lead

Other identifiers

Identifier Type State Issuer
1010530 Other PA MERCY
CA0235 Other PA RR MEDICARE
496703 Other PA AETNA
0006610360 Medicaid PA -
5466407 Other NJ NJ-MEDICAID
11192 Other PA HEALTH PARTNERS
0002Y20116 Other PA HEALTHNET
0270301000 Other PA KEYSTONE
043052 Other PA BLUE SHIELD
273211 Other PA MAMSI
G0005268 Other PA AMERICHOICE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for University of Penn - Medical Group?
NPPES lists Chante Jackson (Enrollment Lead) as the authorized official for this organization.
What is the NPI number for University of Penn - Medical Group?
The NPI for University of Penn - Medical Group is 1497767495, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-19.