DR. IRENE F CONNOLLY (M.D.) – Hematology & Oncology Physician, NPI 1740265834

DR. IRENE F CONNOLLY (M.D.) is a healthcare provider. based in Petoskey, Michigan. specializing in HEMATOLOGY, HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. 4301083187 (MI). The NPI Number for DR. IRENE F CONNOLLY (M.D.) is 1740265834

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. IRENE F CONNOLLY (M.D.)
NPI
1740265834
Phone
(231) 487-4086
Address
416 CONNABLE AVE
Enumeration Date
12 December 2005
Last Update Date
10 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314874000
Graduation Year
1996 (30 years ago)
PAC ID
4183674583
Group Practice PAC ID
9931018181
Professional Enrollment ID
I20050124000784
Address ID
MI497702212PE416XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

113 HEMATOLOGY in MI

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Provider Addresses for DR. IRENE F CONNOLLY (M.D.)

  • McLaren Northern Michigan, 416, Connable Avenue, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 497702212

    Phone: (231) 487-4086

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $391.

Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($211).

Total Amount

$391

General + Research + Ownership

Payments

9

Total payment records

General Amount

$391

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050124000784IHematologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931018181View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)VA
Thoracic Surgery, Cardiac SurgeryMI
N E U R O L O G YMI
Physical Medicine And RehabilitationMI
Hospitalist, Internal MedicineMI
-MI
P S Y C H I A T R YOH
Internal Medicine, Geriatric MedicineMI
Sleep Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Physician AssistantMI

Reviews

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Frequently asked questions

Is there an official ID for DR. IRENE F CONNOLLY (M.D.) in U.S. healthcare records?
The official identifier for DR. IRENE F CONNOLLY (M.D.) is NPI 1740265834.
Is DR. IRENE F CONNOLLY (M.D.) still an active registrant?
DR. IRENE F CONNOLLY (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. IRENE F CONNOLLY (M.D.)'s focus?
For DR. IRENE F CONNOLLY (M.D.), the primary taxonomy reads as Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. IRENE F CONNOLLY (M.D.)?
Travel planning: use Petoskey, Michigan as the reference point for DR. IRENE F CONNOLLY (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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