Individual provider Active NPI

James Edmund Montgomery, MD

  • Ophthalmology Physician
  • Northglenn, CO
National Provider Identifier
1083625677
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39792 Issued in CO
Practice address
10465 Melody Dr
Ste 111
Northglenn, CO 80234-4119
Phone
(303) 252-9981
Fax
(303) 252-7306
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39792 CO Primary

Addresses

Primary practice location

10465 Melody Dr
Ste 111
Northglenn, CO 80234-4119

Mailing address

10465 Melody Dr
Ste 111
Northglenn, CO 80234-4119
Phone (303) 252-9981

Other identifiers 2

IdentifierTypeStateIssuer
84981326MedicaidCO
911546OtherSECURE HORIZONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040709000247 CO Practitioner - Ophthalmology 6709772700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Eye Care PCGroup PAC ID 7911893912, 3 clinicians

Practice addresses (Care Compare)

10465 Melody Dr
Suite 111
Northglenn, CO 80234-4124
Phone (303) 252-9981

Merit-based Incentive Payment System (MIPS)

Final score
70.83 of 100Reported as individual
Quality
76.02
Promoting interoperability
41
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39792COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Eye Care PC Ophthalmology CurrentSince Sep 26, 2001 Accepting new patients
Texan Eye, PA Ophthalmology Past Accepting new patients
Eye Clinic of Austin PLLC Ophthalmology Past Accepting new patients

Locations

10465 Melody Dr
Ste 111
Northglenn, CO 80234
Phone (303) 252-9981

8403 Bryant St
Westminster, CO 80031
Phone (303) 426-4810

Interoperability endpoints

  • Direct secure messaging: james.montgomery.p1@direct.jfraterelli.nextgenshare.com
  • Direct secure messaging: james.montgomery.p2@direct.jfraterelli.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1083625677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR",
            "address_2": "STE 111",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344119",
            "telephone_number": "303-252-9981",
            "fax_number": "303-252-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR",
            "address_2": "STE 111",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344119",
            "telephone_number": "303-252-9981",
            "fax_number": "303-252-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JAMES",
        "middle_name": "EDMUND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "39792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84981326",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "911546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.