University of Penn-Medical Group
NPI 1629466644ActiveOrganization· 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
| NPI | 1629466644 |
|---|---|
| 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 |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | PA |
| Surgery | 208600000X | — | 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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