Individual provider Active NPI

Hilary Hertan, M.D.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1154471993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
156652 Issued in NY
Practice address
600 East 233Rd St.
Olmmc, Dept. of Gi
Bronx, NY 10466
Phone
(718) 920-9692
Fax
(718) 920-6857
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 156652 NY Primary

Addresses

Primary practice location

600 East 233Rd St.
Olmmc, Dept. of Gi
Bronx, NY 10466

Mailing address

600 East 233Rd St.
Olmmc, Dept. of Gi
Bronx, NY 10466
Phone (718) 920-9692

Other identifiers 1

IdentifierTypeStateIssuer
01180230MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040928000402 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1456320332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

600 E 233Rd St
Bronx, NY 10466-2604
Phone (718) 920-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156652NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 23, 2008 Accepting new patients
Montefiore Medical Center Gastroenterology CurrentSince Jul 23, 2008 Accepting new patients
Our Lady of Mercy Medical Center Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
Our Lady of Mercy Ambulatory Care Center, Inc. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

4234 Bronx Blvd
Bronx, NY 10466
Phone (347) 341-4300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: hhertan@montefioredirect.com

Organizations & group practices 5

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.

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154471993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST 233RD ST.",
            "address_2": "OLMMC, DEPT. OF GI",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-920-9692",
            "fax_number": "718-920-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST 233RD ST.",
            "address_2": "OLMMC, DEPT. OF GI",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-920-9692",
            "fax_number": "718-920-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTAN",
        "first_name": "HILARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "156652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01180230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.