University of Penn - Medical Group
NPI 1912014614ActiveOrganization· Medical Genetics, Clinical Genetics (M.D.)· Philadelphia, PA
Medical Genetics, Clinical Genetics (M.D.) in Philadelphia, Pennsylvania, registered in NPPES in August 2006. The authorized official on file is Chante L. Jackson, Enrollment Lead. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912014614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2006 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Medical Genetics, Clinical Genetics (M.D.) Primary | 207SG0201X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
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 (PA) |
|---|
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