University of Penn-Medical Group
NPI 1790173805ActiveOrganization· Neurological Surgery· Philadelphia, PA
Neurological Surgery in Philadelphia, Pennsylvania, registered in NPPES in December 2014. The authorized official on file is Chante L. Jackson, Enrolllment Lead.
Overview
| NPI | 1790173805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2014 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | PA |
| Radiology, Neuroradiology | 2085N0700X | — | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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