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 Family Medicine Physician · NPI 1285580472

University of Penn - Medical Group is a Family Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
10
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Practice location Address checks out

501 S 54th St
Philadelphia, PA 19143-1900
Phone: (800) 789-7366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Psychiatry Physician Taxonomy 2084P0800X
Trauma Surgery Physician Taxonomy 2086S0127X
Vascular Surgery Physician Taxonomy 2086S0129X
Urology Physician Taxonomy 208800000X

Record details

NPI number1285580472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Senior Enrollment Manager · (223) 341-8516
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address501 S 54th St, Philadelphia, PA 19143-1900

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