Individual provider Active NPI

Hilary Smolen Brader, MD

  • Ophthalmology Physician
  • Haverford, PA
National Provider Identifier
1114247343
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD454640 Issued in PA
Practice address
551 W Lancaster Ave Ste 305
Haverford, PA 19041-1419
Phone
(610) 710-2020
Fax
(610) 710-2710
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA09709200 NJ
Ophthalmology Physician 207W00000X MD454640 PA Primary

Addresses

Primary practice location

551 W Lancaster Ave Ste 305
Haverford, PA 19041-1419

Mailing address

249 S 7TH St
Philadelphia, PA 19106-4135
Phone (267) 257-1304

Other practice location 1

601 Walnut St Ste 210W
Philadelphia, PA 19106-3323
Phone (215) 925-6402

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000136 PA Practitioner - Ophthalmology 6901021849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kay and Tabas OphthalmologyGroup PAC ID 7315848991, 9 clinicians

Practice addresses (Care Compare)

50 Monument Rd
Suite 110
Bala Cynwyd, PA 19004-1706
Phone (610) 667-6760

551 W Lancaster Ave
Haverford, PA 19041-1419
Phone (610) 710-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
93.76
Promoting interoperability
93
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09709200NJMDOphthalmology Physician
MD454640PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Retina Ophthalmology CurrentSince Mar 27, 2024 Accepting new patients
Kay & Tabas Ophthalmology Associates Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients
South Suburban Ear, Nose & Throat Assoc Inc Past Accepting new patients

Locations

50 Monument Rd
Ste 110
Bala Cynwyd, PA 19004
Phone (610) 667-6760

551 W Lancaster Ave
Ste 305
Haverford, PA 19041
Phone (610) 527-9001

551 W Lancaster Ave
Haverford, PA 19041
Phone (610) 525-4000

601 Walnut St W
Philadelphia, PA 19106
Phone (215) 629-1866

Interoperability endpoints

  • Direct secure messaging: hbrader@mlr.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1114247343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S 7TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064135",
            "telephone_number": "267-257-1304",
            "fax_number": "610-710-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE STE 305",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-710-2020",
            "fax_number": "610-710-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Walnut St Ste 210W",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063323",
            "country_code": "US",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADER",
        "first_name": "HILARY",
        "middle_name": "SMOLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09709200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD454640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.