NPIMap

Individual provider Active NPI

Andrea Hildebrand, MD

  • Diagnostic Radiology Physician
  • Burlington, VT
National Provider Identifier
1366469181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0420009658 Issued in VT
Practice address
111 Colchester Ave
Dept. of Radiology
Burlington, VT 05401-1473
Phone
(802) 847-3592
Fax
(802) 847-4822
NPI assigned
Jul 16, 2006
Sex
Female
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
Diagnostic Radiology Physician 2085R0202X 0420009658 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Dept. of Radiology
Burlington, VT 05401-1473

Mailing address

566 Irish Hill Rd
Shelburne, VT 05482-7100
Phone (802) 847-3592

Other identifiers 1

IdentifierTypeStateIssuer
OVN1750MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070724000231 VT Practitioner - Diagnostic Radiology 4486755287 Reassigns benefits to 7 organizations
I20240514002198 NY Practitioner - Diagnostic Radiology 4486755287 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians
Porter Hospital IncGroup PAC ID 1850365180, 116 clinicians

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

192 Tilley Dr
Orthopeadic
S Burlington, VT 05403-4440
Phone (802) 847-4690

790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-0000

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420009658VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center CurrentSince Apr 6, 2024 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Porter Hospital, Inc CurrentSince Mar 28, 2024 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Mar 28, 2024 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Apr 6, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Elizabethtown Community Hospital CurrentSince Apr 6, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
University of Vermont Medical Center Inc CurrentSince May 22, 1998 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: ahildebrand10499@direct.uvmhealth.org

Organizations & group practices 26

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 26

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366469181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 IRISH HILL RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827100",
            "telephone_number": "802-847-3592",
            "fax_number": "802-847-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "DEPT. OF RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3592",
            "fax_number": "802-847-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "0420009658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1750",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.