University of Penn-Medical Group
NPI 1285022202ActiveOrganization· Internal Medicine, Sports Medicine· Philadelphia, PA
Internal Medicine, Sports Medicine in Philadelphia, Pennsylvania, registered in NPPES in December 2014. The authorized official on file is Chante L. Jackson, Emrollment Lead.
Overview
| NPI | 1285022202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2014 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Sports Medicine Primary | 207RS0010X | — | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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