Active NPI
Daniel Hennessey, DPM
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC007226
- Practice address
- 12401 Academy Rd Ste 201
Philadelphia, PA 19154-1934 - Phone
- (215) 637-3121
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC007226 | PA | Primary |
Addresses
Primary practice location
12401 Academy Rd Ste 201
Philadelphia, PA 19154-1934
Mailing address
699 Beaver St Unit 1142
Bristol, PA 19007-3888
Phone (727) 403-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061.0000029 | Medicaid | VT | |
| SC007226 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12401 Academy Rd
Suite 201
Philadelphia, PA 19154-1934
Phone (215) 637-3121
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 133 |
| Removal of nail tissue | 442 |
| Removal or shaving of skin growth | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC007226 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Center of Philadelphia, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
501 Bath Rd
Ste 211
Bristol, PA 19007
Phone (215) 568-3510
12401 Academy Rd
Ste 201
Philadelphia, PA 19154
Phone (215) 632-1244
235 N Broad St
Ste 300
Philadelphia, PA 19107
Phone (215) 568-3510
Interoperability endpoints
- daniel.hennessey@thefoot.chartmakerdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1639258916
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, PA
- NPI 1528319621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1982212478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 BEAVER ST UNIT 1142",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190073888",
"telephone_number": "727-403-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 ACADEMY RD STE 201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191541934",
"telephone_number": "215-637-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSEY",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC007226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061.0000029",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SC007226",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.