MARIE OLIVA HENNELLY M.D.
NPI 1912393539
Family Medicine in Philadelphia, PA
About Marie Oliva Hennelly M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE OLIVA HENNELLY M.D. (NPI 1912393539) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD465402) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (2015).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marie Oliva Hennelly M.d. 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus St Vincent Regional Medical Center
Acute Care Hospitals · Santa Fe, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marie Hennelly's NPI number?
The NPI number for Marie Hennelly is 1912393539. It was assigned to this individual provider in the NPPES registry on April 9, 2015.
Where is Marie Hennelly located?
Marie Hennelly practices at 401-55 W Allegheny Avenue, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.
What is Marie Hennelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marie Hennelly enrolled in Medicare?
Yes. Marie 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.
Is Marie Hennelly affiliated with any hospitals?
According to CMS data, Marie Hennelly is affiliated with Christus St Vincent Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Marie Hennelly was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Marie Oliva Hennelly, M.D. · NPI 1912393539
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 9, 2015.
## Identity
- **NPI:** 1912393539 (Entity type: Individual)
- **Enumerated:** April 9, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD465402 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 401-55 W ALLEGHENY AVENUE, Philadelphia, PA 19133-3644
- **Phone:** (215) 291-2500 · **Fax:** (215) 291-2502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2015
## Record status
- **NPPES last updated:** January 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1912393539) · Data from the CMS NPPES public registry.