UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1497767495
Internal Medicine - Geriatric Medicine in Philadelphia, PA
NPI Status: Active since August 12, 2006
Contact Information
3615 CHESTNUT ST
RALSTON-PENN CENTER
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2746
Fax: (215) 349-5648
- Organization
- Internal Medicine
- Geriatric Medicine
- Accepts Insurance
About UNIVERSITY OF PENN - MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for University Of Penn - Medical Group, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1497767495 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. University Of Penn - Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chante L Jackson (Enrollment Lead)
- NPI
- 1497767495
- Provider Name
- UNIVERSITY OF PENN - MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 3615 CHESTNUT ST RALSTON-PENN CENTER PHILADELPHIA, PA 19104
- Location Phone
- (215) 662-2746
- Location Fax
- (215) 349-5648
- Mailing Address
- 3615 RALSTON CENTER RALSTON PENN CENTER PHILADELPHIA, PA 19104
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2006
- Last Update Date
- 11-19-2020
- Code Navigator
An internist like University Of Penn - Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 496703 | OTHER (01) | PA | AETNA |
| 043052 | OTHER (01) | PA | BLUE SHIELD |
| 5466407 | OTHER (01) | NJ | NJ-MEDICAID |
| G0005268 | OTHER (01) | PA | AMERICHOICE |
| 0006610360 | MEDICAID (05) | PA | |
| 0270301000 | OTHER (01) | PA | KEYSTONE |
| 0002Y20116 | OTHER (01) | PA | HEALTHNET |
| 1010530 | OTHER (01) | PA | MERCY |
| 273211 | OTHER (01) | PA | MAMSI |
| 11192 | OTHER (01) | PA | HEALTH PARTNERS |
| CA0235 | OTHER (01) | PA | RR MEDICARE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 6 | 7 | 4 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 6 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 6 + 1 + 4 + 4 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1497767495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962443390 | LESLEY S CARSON MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RAISTON PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1144263450 | CHARLES L SPENCER MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RALSTON PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1871536185 | JENNIFER M KAPO MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RALSTON PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1669415972 | JERRY C JOHNSON MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RALSTON PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1144326976 | DAVID J CASARETT MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 898-2583 |
| 1992869200 | WILLIAM F EDWARDS CRNP Individual | Nurse Practitioner (Gerontology) | 3615 CHESTNUT ST RALSTON-PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1972546281 | JASON H KARLAWISH MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RALSTON PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1437190204 | EDNA P SCHWAB MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RALSTON-PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1528476454 | MS. LINDA J SCHREIBER WILLIAMS CRNP Individual | Nurse Practitioner (Family) | 3615 CHESTNUT ST RM 348 PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1558619643 | FRANCISCO JAVIER MEDRANO CORADO M.D. Individual | Student in an Organized Health Care Education/Training Program | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 898-9401 |
| 1376523977 | DR. PATRICIA A BOKEN MD Individual | Family Medicine | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1700940012 | JEAN A YUDIN CRNP Individual | Nurse Practitioner (Neonatal) | 3615 CHESTNUT ST RALSTON-PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1548243751 | LISA MARIA WALKE MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1972028140 | SHANNON MONE EIMER CRNP Individual | Nurse Practitioner (Gerontology) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1194768499 | JOAN WEINRYB MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST RALSTON PENN CENTER PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1649667684 | DR. ALYSON MICHENER MD Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 386-2984 |
| 1164879862 | HISHEN DANG D.O. Individual | Family Medicine (Geriatric Medicine) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 662-7366 |
| 1871536177 | BRUCE PAUL KINOSIAN MD Individual | Internal Medicine | 3615 CHESTNUT ST ROOM 226 PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1568681609 | DR. MARK J SIMONE-SKIDMORE M.D. Individual | Internal Medicine (Geriatric Medicine) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 662-2746 |
| 1952853319 | LAURA PENDLETON OKAMI Individual | Nurse Practitioner (Gerontology) | 3615 CHESTNUT ST PHILADELPHIA, PA 19104 (215) 662-2746 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497767495, enumerated in the NPI registry as an "organization" on August 12, 2006
The provider is located at 3615 Chestnut St Ralston-penn Center Philadelphia, Pa 19104 and the phone number is (215) 662-2746
This medical organization specializes in Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.