Individual provider Active NPI

Hillary Gordon, MD

  • Pediatric Allergy/Immunology Physician
  • Ardmore, PA
National Provider Identifier
1851667752
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
MD454558 Issued in PA
Practice address
233 E Lancaster Ave Ste 200
Ardmore, PA 19003-2395
Phone
(610) 642-1643
Fax
(610) 642-0245
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X C1-0012218 DE
Pediatric Allergy/Immunology Physician 2080P0201X MD454558 PA Primary

Addresses

Primary practice location

233 E Lancaster Ave Ste 200
Ardmore, PA 19003-2395

Mailing address

233 E Lancaster Ave Ste 200
Ardmore, PA 19003-2321

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidPA
PENDINGMedicaidDE

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
I20170822000078 PA Practitioner - Allergy/Immunology 3971812280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Allergy , L.L.P.Group PAC ID 0941284301, 5 clinicians

Practice addresses (Care Compare)

233 E Lancaster Ave
Suite 200
Ardmore, PA 19003-2321
Phone (610) 642-1643

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012218DEMDPediatric Allergy/Immunology Physician
MD454558PAMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Allergy , L.L.P. CurrentSince Feb 13, 2023 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients

Locations

233 E Lancaster Ave
Ste 200
Ardmore, PA 19003
Phone (610) 642-1643

491 Allendale Rd
Ste 223
Kng of Prussa, PA 19406
Phone (610) 768-9323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIEIBA
  • Direct secure messaging: hillary.gordon@mainlineallergy.eclinicaldirectplus.com

Organizations & group practices 2

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1851667752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE STE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "fax_number": "610-642-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE STE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032395",
            "telephone_number": "610-642-1643",
            "fax_number": "610-642-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "HILLARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "DE",
            "license": "C1-0012218",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "PA",
            "license": "MD454558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.