Individual provider Active NPI

Hector Mario Montalvo, M.D.

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1053332759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11802R Issued in LA
Practice address
3020 Kingman St
Suite B
Metairie, LA 70006-6673
Phone
(504) 888-3292
Fax
(504) 888-3692
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11802R LA Primary

Addresses

Primary practice location

3020 Kingman St
Suite B
Metairie, LA 70006-6673

Mailing address

3020 Kingman St
Suite B
Metairie, LA 70006-6673
Phone (504) 888-3292

Other identifiers 1

IdentifierTypeStateIssuer
1684398MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070402000757 LA Practitioner - Internal Medicine 7315041282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

3625 Houma Blvd
Metairie, LA 70006-4229
Phone (504) 897-3305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11802RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medical Group, L.L.C. Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Miguel P. Rivera, M.D. a.P.M.C. Internal Medicine Past Accepting new patients

Locations

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

3625 Houma Blvd
Metairie, LA 70006
Phone (504) 648-0270

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBACA/Endpoint/IFBACA

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053332759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 KINGMAN ST",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066673",
            "telephone_number": "504-888-3292",
            "fax_number": "504-888-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 KINGMAN ST",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066673",
            "telephone_number": "504-888-3292",
            "fax_number": "504-888-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "HECTOR",
        "middle_name": "MARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11802R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684398",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.