Kevin Michael Montgomery, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

8503 Issued in NE

Practice address

981150 Nebraska Medical Ctr
Omaha, NE 68198-1150

Phone

(402) 559-6802

NPI assigned

Jun 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Orthopaedic Hospital LLCGroup PAC ID 5395645279, 17 clinicians

Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111
• Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129

Merit-based Incentive Payment System (MIPS)

Final score

93.5 of 100Reported as group

Quality

90.88

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

65.67 of 100Reported as group

Quality

95

Promoting interoperability

0

Improvement activities

40

Cost

73.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Columbus Community Hospital Inc

  • Emergency Medicine Physician
  • Columbus, NE
  • NPI 1427152131

  Emergency Medicine, NE

  Medicare reassignment Care Compare group NPD
• Nebraska Orthopaedic Hospital LLC

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1407087489

  NE

  Medicare reassignment Care Compare group
• Nebraska Emergency Medicine PC

  • Emergency Medicine Physician
  • Lincoln, NE
  • NPI 1669576831

  Emergency Medicine, NE

  Medicare reassignment NPD
• Columbus Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Columbus, NE
  • NPI 1598869240
  Care Compare group
• Columbus Community Hospital Inc

  • Community Based Hospice Care Agency
  • Columbus, NE
  • NPI 1730283771
  Care Compare group
• Columbus Community Hospital Inc

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295
  Care Compare group
• Columbus Community Hospital Inc

  • Surgery Physician
  • Columbus, NE
  • NPI 1821592205
  Care Compare group
• Columbus Community Hospital Inc

  • Home Health Agency
  • Columbus, NE
  • NPI 1902893456
  Care Compare group
• Nebraska Orthopaedic Hospital LLC

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356345318
  Care Compare group
• Columbus Community Hospital Inc

  • Dermatology Physician
  • Columbus, NE
  • NPI 1881370476
  NPD
• Unmc

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1962625772
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbus Community Hospital Inc

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295

  Hospital

  Care Compare affiliation
• Nebraska Orthopaedic Hospital LLC

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356345318

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1033770573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981150 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981150 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981150",
            "telephone_number": "402-559-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Montgomery, MSN, APRN, PMHNP-BC
• Jabrasia Montgomery
• Jabria Montgomery
• Kallieshia Montgomery
• Karen Montgomery, LMHP
• Latreasa Y Montgomery
• Lawana Montgomery
• Maggie Montgomery
• Pamela Lenora Montgomery, CNA
• Raneiyah Montgomery

• All providers in Omaha, NE
• Emergency Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.

Verify at the official NPI Registry.