| NPI | 1013920503 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-14 |
| Last Updated | 2025-09-11 |
| Authorized Official | Elizabeth Johnston Executive Director Phone: 2156623005 |
| Mailing Address | 3624 Market St, Suite 560w Philadelphia, PA 19104-2614 United States Phone: (215) 662-2286 | Fax: (215) 615-0500 📍 View Map |
| Primary Practice Address | 3400 Spruce St, Ground Floor Dulles Philadelphia, PA 19104-4206 United States Phone: (215) 662-3005 | Fax: (215) 662-7011 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | PA | DA4009 | Railroad Medicare |
| Other (non-Medicare) | PA | 002144 | Aetna |
| Other (non-Medicare) | PA | 0834536000 | Keystone |
| MEDICAID | PA | 1001258770 | - |
| Other (non-Medicare) | PA | 10371 | Healthpartners |
| Other (non-Medicare) | PA | 160728 | Blue Shield |
| Other (non-Medicare) | PA | 3Y30270 | HealthNet |
| Other (non-Medicare) | PA | 45459 | Keystone Mercy |
| MEDICAID | NJ | 8837007 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2085N0700X – | - | - |
| No | 2085N0904X – | - | - |
| No | 2085R0202X – Radiology, Diagnostic Radiology | - | - |
| Yes | 2085R0204X – Radiology, Vascular & Interventional Radiology | - | - |
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About NPI 1013920503
Univ Of Penn - Radiology is an organization registered in the CMS NPPES NPI Registry with NPI number 1013920503. The primary specialty listed is Radiology, Vascular & Interventional Radiology. The organization is located in Philadelphia, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1013920503?
NPI 1013920503 belongs to Univ Of Penn - Radiology, a Radiology, Vascular & Interventional Radiology in Philadelphia, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1013920503 active?
The current status of NPI 1013920503 in the NPPES registry is Active. The record was last updated on 2025-09-11.
What specialty is NPI 1013920503?
NPI 1013920503 is classified under the taxonomy Radiology, Vascular & Interventional Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1013920503?
You can verify NPI 1013920503 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1013920503?
The primary practice address on file for NPI 1013920503 is 3400 Spruce St, Philadelphia, PA 19104-4206. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1013920503 issued?
NPI 1013920503 was first issued (enumerated) on 2006-08-14. The NPPES record was last updated on 2025-09-11.
Practice Location Map
Univ Of Penn - Radiology is located at 3400 Spruce St, Philadelphia, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Univ Of Penn - Radiology. All records sourced from the CMS NPPES registry.