Individual provider Active NPI

Allix Megan Hillebrand, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1003375973
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD483165 Issued in PA
Practice address
Maimonides Medical Center
4802 10TH Avenue
Brooklyn, NY 11219
Phone
(718) 283-8000
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 MD483165 PA Primary

Addresses

Primary practice location

Maimonides Medical Center
4802 10TH Avenue
Brooklyn, NY 11219

Mailing address

Maimonides Medical Center
4802 10TH Avenue
Brooklyn, NY 11219

Other practice location 1

1000 East Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-7916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230713001237 NY Practitioner - Obstetrics/Gynecology 5496083735 Reassigns benefits to 3 organizations
I20240105002466 PA Practitioner - Obstetrics/Gynecology 5496083735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC OB/GYN Faculty Practice PlanGroup PAC ID 0345274809, 31 clinicians
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

1616 A Voorhies Ave
Brooklyn, NY 11235-3914
Phone (718) 283-8225

4422 9TH Ave
Brooklyn, NY 11220-1603
Phone (718) 283-8773

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8225

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322326NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Apr 19, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jan 15, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 1, 2023 Accepting new patients
Geisinger-HM Joint Venture LLC Obstetrics & Gynecology CurrentSince Jan 15, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger Clinic CurrentSince Jan 15, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 15, 2024 Accepting new patients
MMC OB-GYN Faculty Practice Plan CurrentSince Aug 1, 2023 Accepting new patients
Maimonides Medical Center Past Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Geisinger Wyoming Valley Medical Center Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ahillebrand4610750@nychhc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1003375973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIMONIDES MEDICAL CENTER",
            "address_2": "4802 10TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIMONIDES MEDICAL CENTER",
            "address_2": "4802 10TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 East Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-7916",
            "fax_number": "570-808-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLEBRAND",
        "first_name": "ALLIX",
        "middle_name": "MEGAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD483165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.