Individual provider Active NPI

Andrew Montalbano, MD

  • Anesthesiology Physician
  • Merriam, KS
National Provider Identifier
1073756953
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
04-42341 Issued in KS
Practice address
6815 Frontage Rd
Merriam, KS 66204-1398
Phone
(816) 478-4200
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2013009619 MO
Anesthesiology Physician 207L00000X 04-42341 KS Primary

Addresses

Primary practice location

6815 Frontage Rd
Merriam, KS 66204-1398

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.montalbano.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131018001540 MO Practitioner - Anesthesiology 6305071796 Reassigns benefits to 3 organizations
I20200117001960 KS Practitioner - Anesthesiology 6305071796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (816) 478-4200

4901 College Blvd
Leawood, KS 66211-1602
Phone (913) 721-3387

Hospital & facility affiliations

  • Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Jan 12, 2019 Accepting new patients
St Lukes East Anesthesia Services,P.C. Anesthesiology CurrentSince Mar 11, 2018 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Cass Regional Medical Center CurrentSince Jan 12, 2019 Accepting new patients
Kansas City Gastroenterology & Hepatology Physicians Group, LLC PastSince Jun 5, 2022 Accepting new patients

Locations

2300 Hutton Rd
Ste 106107
Kansas City, KS 66109

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

5101 College Blvd
Overland Park, KS 66211

6815 Frontage Rd
Ste B
Overland Park, KS 66204
Phone (816) 875-2604

4860 College Blvd
Ste 201
Overland Park, KS 66211

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

4820 College Blvd
Ste A
Overland Park, KS 66211

6815 Frontage Rd
Shawnee Mission, KS 66204
Phone (913) 318-3800

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1073756953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 FRONTAGE RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041398",
            "telephone_number": "816-478-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBANO",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2013009619",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-42341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.montalbano.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address to receive summary of care documents",
            "address_1": "6815 Frontage Rd",
            "city": "Merriam",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662041398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.