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University of Penn-Medical Group

NPI 1447648464ActiveOrganization· Surgery, Vascular Surgery· Philadelphia, PA

Surgery, Vascular Surgery in Philadelphia, Pennsylvania, registered in NPPES in December 2014. The authorized official on file is Chante L. Jackson, Enrollment Lead.

Overview

NPI1447648464
StatusActive
Entity typeOrganization
NPI issuedDec 29, 2014
Last updated in NPPESNov 19, 2020
Certified by providerNov 19, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Vascular Surgery Primary2086S0129X—PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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