ROBERT HENNESSY
NPI 1699765412
Family Medicine in Corona, CA

Active since October 24, 2005PECOS Enrolled
3593 ARBORETUM CIR, CORONA, CA 92881(714) 943-5015 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Hennessy NPPES

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

ROBERT HENNESSY (NPI 1699765412) is an individual family medicine provider in Corona, California, licensed in California (A114538) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1977).

NPPES Registry Identity

NPI1699765412
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT HENNESSY
Location Address3593 ARBORETUM CIRCorona, CA 92881-3973
Mailing Address3593 Arboretum CirCorona, CA 92881-3973 · (714) 943-5015
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1977
Enumeration DateOctober 24, 2005
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
NPI 1699765412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A114538
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License A114538 (CA)
3593 ARBORETUM CIR, Corona, CA 92881

Other Identifiers 1

Medicaid01820891NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert Hennessy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103892997
PECOS Enrollment IDI20140930000815
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92881 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Robert Hennessy's NPI number?

The NPI number for Robert Hennessy is 1699765412. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Robert Hennessy located?

Robert Hennessy practices at 3593 Arboretum Cir, Corona, CA 92881. The listed phone number is (714) 943-5015.

What is Robert Hennessy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Hennessy enrolled in Medicare?

Yes. Robert Hennessy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Hennessy was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.