NPIMap

Individual provider Active NPI

Amy Maureen Hennessy, MD

  • Obstetrics & Gynecology Physician
  • Brockport, NY
National Provider Identifier
1205088960
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
300384 Issued in NY
Practice address
6668 Fourth Section Rd Ste 500
Brockport, NY 14420
Phone
(585) 637-2670
Fax
(585) 637-3678
NPI assigned
Oct 14, 2008
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 300384 NY Primary

Addresses

Primary practice location

6668 Fourth Section Rd Ste 500
Brockport, NY 14420

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 637-2670

Other practice location 1

6845 Elm St
suite 600
Mc Lean, VA 22101-6007
Phone (703) 748-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110429000148 DC Practitioner - Obstetrics/Gynecology 4880879295 Reassigns benefits to 1 organization
I20160121002249 VA Practitioner - Obstetrics/Gynecology 4880879295 Reassigns benefits to 1 organization
I20190816000113 NY Practitioner - Obstetrics/Gynecology 4880879295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1561 Long Pond Rd
Suite 414
Rochester, NY 14626-4117
Phone (585) 723-7750

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
300384NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 7, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2019 Accepting new patients
Inova Health Care Services CurrentSince Dec 7, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2019 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Dec 7, 2015 Accepting new patients

Locations

6668 4th Section Rd
Ste 500
Brockport, NY 14420
Phone (585) 637-2670

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1561 Long Pond Rd
Ste 404
Rochester, NY 14626
Phone (585) 225-7550

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6845 Elm St
Ste 600
McLean, VA 22101
Phone (703) 748-9880

Interoperability endpoints

  • Direct secure messaging: ahennessy265714@direct.rochesterregional.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1205088960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-637-2670",
            "fax_number": "585-637-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6668 FOURTH SECTION RD STE 500",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "14420",
            "telephone_number": "585-637-2670",
            "fax_number": "585-637-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6845 Elm St",
            "address_2": "suite 600",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221016007",
            "country_code": "US",
            "telephone_number": "703-748-9880",
            "fax_number": "703-748-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "AMY",
        "middle_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "300384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.