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

Jesse Michael Civan, MD

Individual provider Gastroenterology Physician · NPI 1316000805

Jesse Michael Civan, MD is a Gastroenterology in Philadelphia, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 2006, 20 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
20
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1101 Chestnut St
Philadelphia, PA 19107-3612
Phone: (215) 955-8900
Fax: (215) 955-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD436852 (PA)

Record details

NPI number1316000805
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2006 (20 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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