Michael Hennessey, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036090346 Issued in IL

Practice address

7638 W North Ave
Elmwood Park, IL 60707-4157

Phone

(708) 452-4257

Fax

(708) 452-4283

NPI assigned

Sep 30, 2005

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Ophthalmology Associates, LTDGroup PAC ID 4284728007, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008
• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Merit-based Incentive Payment System (MIPS)

Final score

92.96 of 100Reported as group

Quality

88.98

Improvement activities

40

Cost

84.23

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhennessey50776@direct.luhs.org
• Direct secure messaging: mhennesseymd@oakparkeyecenter.direct.eyemdemr.com

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.

• Oak Park Eye Center S.C.

  • Ophthalmology Physician
  • Elmwood Park, IL
  • NPI 1386736650
  Medicare reassignment NPD Authorized official
• University Ophthalmology Associates, LTD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1689726903
  Medicare reassignment Care Compare group NPD (past)
• Loyola University Medical Center

  dba Foster G. McGaw Hospital

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD
• University Ophthalmology Associates, LTD

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1245382126
  NPD (past)

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

• Elmhurst Memorial Hospital

  dba Endeavor Health Elmhurst Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation
• Gottlieb Memorial Hospital

  • General Acute Care Hospital
  • Melrose Park, IL
  • NPI 1831170232
  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1912994393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074157",
            "telephone_number": "708-452-4257",
            "fax_number": "708-452-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074157",
            "telephone_number": "708-452-4257",
            "fax_number": "708-452-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036090346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dosha Grant, RN
• Henry J Hagopian, DDS
• Tracey A Handwerker I, COTA/L
• Kimberly Harden, M.D.
• Shaina Rose Helm, LCSW
• Henry J. Hagopian D.D.S. P.C. (River Forest Dental Center)
• Mark S Hroma, P.T.
• Nicole Joy Hroma, SENIOR PT
• David A Huelsman, PHARM D
• Donald Walter Hugar, DPM

• Ophthalmology Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.