MICHAEL M. HENNELLY D.O.
NPI 1164441069
Emergency Medicine in Philadelphia, PA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
3998 RED LION RD, EMERGENCY DEPARTMENT, PHILADELPHIA, PA 19114(215) 612-4000(215) 807-8235 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael M. Hennelly D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL M. HENNELLY D.O. (NPI 1164441069) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS010405L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1164441069
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL M. HENNELLYCredential: D.O.
Location Address3998 RED LION RD, EMERGENCY DEPARTMENTPhiladelphia, PA 19114-1436
Mailing AddressPo Box 8500-6335Philadelphia, PA 19178-0001 · (215) 807-8000 · Fax (215) 807-8235
Fax(215) 807-8235
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1164441069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS010405L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3998 RED LION RD, Philadelphia, PA 19114

Other Identifiers 16

Medicare UPINH66315PA
Medicaid0019010010002PA
Other20045133PA · Amerihealth Mercy
Other01901001-01PA · Americhoice- Torres
Other1164798PA · Keystone Mercy
Other1399033PA · Highmark Blue Shield
Other452729PA · Aetna Contract
Other2087612000PA · Keystone Ibc
Other07645PA · Health Partners
Medicaid0019010010001PA
Other01901001-02PA · Americhoice- Frankford
Medicare PIN059658JL1PA
Other1027108PA · Cigna
Other01901001-03PA · Americhoice- Bucks
Other1399033PA · Personal Choice
Medicaid00190010010003PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael M. Hennelly D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698967768
PECOS Enrollment IDI20101007000518
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Hennelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
2804 SOUTHAMPTON RD
Philadelphia, PA 19154
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 67 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Vascular & Interventional Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Obstetrics & Gynecology
3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114
Nurse Anesthetist, Certified Registered
3998 RED LION RD
PHILADELPHIA, PA 19114
Radiology (Diagnostic Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Emergency Medicine
3998 RED LION RD
PHILADELPHIA, PA 19114
Registered Nurse (Emergency)
3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114
Surgery
3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114
General Acute Care Hospital
3998 RED LION RD
PHILADELPHIA, PA 19114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Hennelly's NPI number?

The NPI number for Michael Hennelly is 1164441069. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Michael Hennelly located?

Michael Hennelly practices at 3998 Red Lion Rd Emergency Department, Philadelphia, PA 19114. The listed phone number is (215) 612-4000.

What is Michael Hennelly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Hennelly enrolled in Medicare?

Yes. Michael Hennelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Hennelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hennelly reassigns Medicare benefits to American Current Care PA (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hennelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hennelly accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Michael Hennelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Hennelly was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.