Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marie Oliva Hennelly, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912393539

Marie Oliva Hennelly, MD is registered under Family Practice in Philadelphia, Pennsylvania. Graduated from Icahn School of Medicine at Mount Sinai in 2015, 11 years ago. Practices with La Familia Medical Center, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Washington.

Years since qualifying
11
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
PA, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 8720 14th Ave S, Seattle, WA 98108 — (206) 762-3730
  • 550 16th Ave, Seattle, WA 98122-5699 — (206) 320-2484

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD465402 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60748517 (WA)

Record details

NPI number1912393539
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESJanuary 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2015 (11 years in practice)
Group practice La Familia Medical Center — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at La Familia Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 30 clinicians in the practice; 12 are shown here.

Other providers in Philadelphia