University of Penn - Medical Group
NPI 1720553001ActiveOrganization· Transplant Surgery· Newark, DE
Transplant Surgery in Newark, Delaware, registered in NPPES in October 2018. The authorized official on file is Chante L. Jackson, Enrollment Coor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720553001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2018 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Transplant Surgery Primary | 204F00000X | — | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (DE) |
|---|