JUDY UNGERLEIDER HENNESSEY MD
NPI 1811069669
Obstetrics & Gynecology in San Rafael, CA

Q: What is Judy Hennessey's NPI number?

The NPI number for Judy Hennessey is 1811069669. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Judith R. Ungerleider.

Q: What is Judy Hennessey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Judy Hennessey was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 15, 2006PECOS Enrolled

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, Jun 18, 2021 (2 updates tracked since 2021).

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About Judy Ungerleider Hennessey Md NPPES

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

JUDY UNGERLEIDER HENNESSEY MD (NPI 1811069669) is an individual obstetrics & gynecology provider in San Rafael, California, licensed in California (G81231) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811069669

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJUDY UNGERLEIDER HENNESSEYCredential: MD

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262

Phone(415) 444-2000

Sole ProprietorNo

Enumeration DateNovember 15, 2006

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

NPPES CertifiedJune 18, 2021

✔ NPI 1811069669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · G81231

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

99 MONTECILLO RD, San Rafael, CA 94903

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Other Names 1

Other Name (5)Judith R. Ungerleider

Other Identifiers 1

Medicaid00G812310CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy Ungerleider Hennessey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94903 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

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$85.00 typical visit price

range $23.44 – $166.64

Typical copayment $21.25 (range $5.86 – $41.66)

Most-billed visit code 99213

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.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)