Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

University of Penn - Medical Group

Organization Internal Medicine Physician · NPI 1114481504

University of Penn - Medical Group is an Internal Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1800 Lombard St Ste 206
Philadelphia, PA 19146-1414
Phone: (215) 615-2222
Fax: (215) 893-7317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1114481504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Payer Enrollment Manager · (223) 341-8516
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 824320, Philadelphia, PA 19182-4320

Other providers in Philadelphia