Tina Deborah Montemurno, M.D.
Individual provider Active NPI Anesthesiology Physician · Conifer, CO
NPI 1003007360 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1003007360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- DR.0067713 (CO)
- Practice address
- 12157 Powhatan TRL
Conifer, CO 80433-7121 - Phone
- (917) 848-0893
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Centers of Colorado LLC
Practice addresses (Care Compare)
1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060
Hospital & facility affiliations
- Sky Ridge Medical Center
- The Medical Center of Aurora & South Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221114001104 | CO | Practitioner - Anesthesiology | 9830262435 | Reassigns benefits to 3 organizations |
| I20240502003913 | WA | Practitioner - Anesthesiology | 9830262435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08393900 | NJ | MD | Anesthesiology Physician |
| 238503 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Anesthesia Concepts Inc | Anesthesiology | Current |
Accepting new patients |
| Animas Surgical Hospital, LLC | Anesthesiology | Current | Accepting new patients |
| Durango Surgery Center LLC | Current |
Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients | |
| Animas Surgical Hospital, LLC | Current |
Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Orthopedic Centers of Colorado, LLC | Current |
Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients | |
| Oregon Anesthesiology Group PC | Anesthesiology | Current |
Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Current |
Accepting new patients |
Locations
1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134
575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678
1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
707 SW Washington St
Ste 700
Portland, OR 97205
6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363
6330 S Western Ave
Ste 150
Sioux Falls, SD 57108
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- https://api.platform.athenahealth.com/5622/brand/34/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 238503 | NY | |
| Anesthesiology Physician | 207L00000X | 25MA08393900 | NJ | |
| Anesthesiology Physician | 207L00000X | DR.0067713 | CO | Yes |
Addresses
Primary practice location
12157 Powhatan TRL
Conifer, CO 80433-7121
Mailing address
12157 Powhatan TRL
Conifer, CO 80433-7121
Phone (917) 848-0893
Other practice location 1
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545
Other practice location 2
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000
Other practice location 3
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Conifer, CO
- David Troy Mesmer
- Metro Community Provider Network Inc
- Michelle Payne Counseling
- Mongillo Family Chiropractic LLC
- Joshua Dominic Mongillo
- Peyton Moore
- Modesto A Moreno
- Scot B. Morris
- Sara Murphy
- Justin Myrick
All providers in Conifer, CO · Anesthesiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.