Individual provider Active NPI

Hannah R Brooks, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1497218523
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
315455 Issued in NY
Practice address
630 W 168TH St
New York, NY 10032-3725
Phone
(212) 305-2862
NPI assigned
Apr 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 315455 NY Primary

Addresses

Primary practice location

630 W 168TH St
New York, NY 10032-3725

Mailing address

1925 Eastchester Rd Apt 19B
Bronx, NY 10461-2106
Phone (347) 423-4556

Other identifiers 1

IdentifierTypeStateIssuer
KE41296JMedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hrb9001@nyp.org Columbia University Medical Center

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
I20221207002276 NY Practitioner - Family Practice 3072841642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospital of Brooklyn Suny Downstate Health Sciences UniversGroup PAC ID 7113318122, 91 clinicians

Practice addresses (Care Compare)

253 Empire Blvd
Brooklyn, NY 11225-3506
Phone (718) 493-0300

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

National Provider Directory

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

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Sep 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 4, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 4, 2022 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

253 Empire Blvd
Brooklyn, NY 11225

610 W 158th St
Fl 2
New York, NY 10032
Phone (212) 304-6408

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
New York, NY 10032
Phone (212) 305-1948

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1497218523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 EASTCHESTER RD APT 19B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612106",
            "telephone_number": "347-423-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HANNAH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "315455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KE41296J",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hrb9001@nyp.org",
            "affiliation": "Y",
            "affiliationName": "Columbia University Medical Center",
            "address_1": "630 W 168th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.