TIMOTHY HENNESSY (M.D.) – Internal Medicine Physician, NPI 1528045119

TIMOTHY HENNESSY (M.D.) is a healthcare provider. based in Drexel hill, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. C10005039 (DE). The NPI Number for TIMOTHY HENNESSY (M.D.) is 1528045119

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY HENNESSY (M.D.)
NPI
1528045119
Phone
(302) 545-8201
Address
1208 MORGAN AVENUE
Enumeration Date
27 December 2005
Last Update Date
4 April 2008

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3023204410
Graduation Year
1994 (32 years ago)
PAC ID
0042396848
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20080319000317
Address ID
DE198011013WI501XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

777 INTERNAL MEDICINE in DE

Provider Addresses for TIMOTHY HENNESSY (M.D.)

  • Morgan Avenue, Addingham, Upper Darby, Delaware County, Pennsylvania, 19026, United States

    DREXEL HILL, PA 19026

    Phone: (302) 545-8201

    Type: Mailing

  • 3411 SILVERSIDE RD

    WEBSTER BUILDING, SUITE 103

    WILMINGTON, DE 19810

    Phone: (302) 479-8464

    Fax: (302) 479-8463

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-03-19

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
I20080319000317IInternal MedicineDETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes212195$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14160$0
99213Established patient office or other outpatient visit, 20-29 minutes106101$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 19026)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

What is the registry number for TIMOTHY HENNESSY (M.D.)?
The registry entry for TIMOTHY HENNESSY (M.D.) shows NPI 1528045119.
Should I treat TIMOTHY HENNESSY (M.D.) as an active provider?
Patients and plans typically see TIMOTHY HENNESSY (M.D.) as active in the national extract.
How should patients interpret TIMOTHY HENNESSY (M.D.)'s specialty?
The extract shows Internal Medicine Physician for TIMOTHY HENNESSY (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit TIMOTHY HENNESSY (M.D.) in Drexel Hill, Pennsylvania?
For routing, start with Drexel Hill, Pennsylvania for TIMOTHY HENNESSY (M.D.), then verify phone and hours locally.
Who maintains TIMOTHY HENNESSY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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