MARK D HENNESSY (M.D.) – Maternal & Fetal Medicine Physician, NPI 1194710467

MARK D HENNESSY (M.D.) is a healthcare provider. based in Knoxville, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD 23608 (TN). The NPI Number for MARK D HENNESSY (M.D.) is 1194710467

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MARK D HENNESSY (M.D.)
NPI
1194710467
Phone
(865) 305-8888
Address
1930 ALCOA HWY
Enumeration Date
13 September 2005
Last Update Date
28 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8652632400
Graduation Year
1986 (40 years ago)
PAC ID
3072502020
Group Practice PAC ID
8729137021
Professional Enrollment ID
I20050223000140
Address ID
TN385012424CO225XXAVEX401
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

898 OBSTETRICS/GYNECOLOGY in TN

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Provider Addresses for MARK D HENNESSY (M.D.)

  • 1930, Alcoa Highway, Knoxville, Knox County, East Tennessee, Tennessee, 37920, United States

    STE 435

    KNOXVILLE, TN 379201520

    Phone: (865) 305-8888

    Fax: (865) 305-7090

    Type: Mailing

  • University of Tennessee Medical Center, 1924, Alcoa Highway, Knoxville, Knox County, East Tennessee, Tennessee, 37920, United States

    SUITE 6-SOUTH

    KNOXVILLE, TN 379201511

    Phone: (865) 305-8888

    Fax: (865) 305-2514

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Shield Therapeutics Inc ($31).

Total Amount

$113

General + Research + Ownership

Payments

7

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

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: 2005-02-23

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
I20050223000140IObstetrics/GynecologyTNTBD

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 37920)

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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: 8729137021View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN

Reviews

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Frequently asked questions

How do payers reference MARK D HENNESSY (M.D.)?
For MARK D HENNESSY (M.D.), use NPI 1194710467 as the unique 10-digit identifier.
Is MARK D HENNESSY (M.D.) still an active registrant?
MARK D HENNESSY (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to MARK D HENNESSY (M.D.)?
MARK D HENNESSY (M.D.)'s specialty line reads Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARK D HENNESSY (M.D.) associated with Knoxville?
Public fields place MARK D HENNESSY (M.D.) around Knoxville, Tennessee. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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