Active NPI
Robert Montague, CRNA
- Certified Registered Nurse Anesthetist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA213065
- Practice address
- 22 Bramhall St
Portland, ME 04102-3175 - Phone
- (207) 662-0111
- NPI assigned
- May 31, 2019
- Last updated
- Oct 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA213065 | ME | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3175
Mailing address
3 Leeman St
Portland, ME 04103-2420
Phone (406) 407-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA213065 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Maine Anesthesia Services LLC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients |
Locations
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Anesthesiology Physician
- Portland, ME
- NPI 1457057374
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
dba Providence Hood River Memorial Hospital
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
dba Providence Hood River Memorial Hospital
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Hood River Memorial Hospital
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1023676483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LEEMAN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032420",
"telephone_number": "406-407-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023175",
"telephone_number": "207-662-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGUE",
"first_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA213065",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.