Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

University of Penn - Medical Group

Clinical Genetics (M.D.) 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

1912014614

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Registry record

Entity type Organization (Type 2)

Legal business name University of Penn - Medical Group

Practice address 3400 Spruce St, One Maloney, Philadelphia, PA, 19104

Phone (215) 662-4740

Enumeration date Aug 25, 2006

Last updated in NPPES Nov 20, 2020

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207SG0201X Clinical Genetics (M.D.) Physician Allopathic & Osteopathic Physicians Primary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Chante Jackson

Title Enrollment Lead

Phone (215) 662-6187

Other identifiers

Identifier	Type	State	Issuer
0053945000	Other	PA	KEYSTONE
1061396	Other	PA	MERCY
CA0235	Other	PA	RR MEDICARE
0002Y20116	Other	PA	HEALTHNET
147249	Other	PA	BLUE SHIELD
980167	Other	PA	AETNA
26256	Other	PA	HEALTHPARTNERS
273231	Other	PA	MAMSI
0006610360	Medicaid	PA	-
7768508	Other	NJ	NJ-MEDICAID
G00053120	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

Where is University of Penn - Medical Group located?

The practice location on file with NPPES is in Philadelphia, PA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-20. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-20.