Marie Oliva Hennelly, M.D.
Family Medicine · Philadelphia, PA
At a glance
401-55 W Allegheny Avenue, Philadelphia, PA 19133-3644
NPPES record updated Jan 10, 2019. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
401-55 W Allegheny AvenuePhiladelphia, PA 19133-3644
Additional reported practice locations
550 16Th AveSte 100
Seattle, WA 981225699
Phone: 2063202484 8720 14Th Ave S
Seattle, WA 98108
Phone: 2067623730
Education & affiliations
- Medical / professional school
- Icahn School Of Medicine At Mount Sinai
- Graduation year
- 2015
- CMS specialties
- Family Practice
Practice groups
Reported hospital affiliations
- Christus St Vincent Regional Medical Center Santa Fe, NM
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Medicine
- Taxonomy code
- 207Q00000X
- Enumeration date
- Apr 9, 2015
- Record updated
- Jan 10, 2019
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- M.D.
Reported taxonomies and licenses
390200000X
207Q00000X
License reported: MD60748517 WA
207Q00000X · Primary
License reported: MD465402 PA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
401-55 W Allegheny AvenuePhiladelphia, PA 19133-3644
- Phone
- (215) 291-2500
- Fax
- (215) 291-2502
Mailing address
1412-22 FAIRMOUNT AVENUEPHILADELPHIA, PA 191302908
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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