Active NPI
Louis Montanaro III, M.D.
- Obstetrics & Gynecology Physician
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J0604
- Practice address
- 4300 N Josey LN
Suite 106
Carrollton, TX 75010-4602 - Phone
- (972) 939-6515
- Fax
- (972) 939-6507
- NPI assigned
- Aug 11, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J0604 | TX | Primary |
Addresses
Primary practice location
4300 N Josey LN
Suite 106
Carrollton, TX 75010-4602
Mailing address
4300 N Josey LN
Suite 106
Carrollton, TX 75010-4602
Phone (972) 939-6515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at Houston, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4300 N Josey LN
Suite 106
Carrollton, TX 75010-4681
Phone (972) 939-6515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0604 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Health Presbyterian Hospital Plano | Past | Accepting new patients | |
| Texas Health Presbyterian Hospital Dallas | Past | Accepting new patients |
Locations
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000
Interoperability endpoints
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
-
- General Acute Care Hospital
- Plano, TX
- NPI 1770514077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013919810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N JOSEY LN",
"address_2": "SUITE 106",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104602",
"telephone_number": "972-939-6515",
"fax_number": "972-939-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N JOSEY LN",
"address_2": "SUITE 106",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104602",
"telephone_number": "972-939-6515",
"fax_number": "972-939-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANARO",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J0604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.