Adolben Y Montesclaros, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17681 Issued in AZ

Practice address

5224 W Dove Centre Rd
Marana, AZ 85658

Phone

(520) 616-1445

Fax

(520) 616-1446

NPI assigned

Jun 15, 2006

Last updated

Jun 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adolben.montesclaros@1278.direct.myezyaccess.com

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.

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Medicare reassignment NPD
• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Medicare reassignment NPD
• Nes Arizona Inc

  • Emergency Medicine Physician
  • Benson, AZ
  • NPI 1205217700
  Medicare reassignment NPD
• Benson Hospital Corporation

  • Rural Health Clinic/Center
  • Vail, AZ
  • NPI 1457924920
  NPD
• Bisbee Hospital Association

  dba Copper Queen Community Hospital Hereford RHC

  • Rural Health Clinic/Center
  • Hereford, AZ
  • NPI 1245986975
  NPD
• Copper Queen Medical Associates Douglas

  • Clinic/Center
  • Douglas, AZ
  • NPI 1942217088
  NPD
• Marana Health Center Inc

  dba MHC Healthcare Dental Office

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1396512034
  NPD
• Marana Health Center, Inc

  dba MHC Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marana, AZ
  • NPI 1447263405

  Family Medicine

  NPD
• Nes Arizona Inc

  • Emergency Medicine Physician
  • Fort Mohave, AZ
  • NPI 1285163121
  NPD
• Emcare Physician Providers, Inc

  • Emergency Medicine Physician
  • Parker, AZ
  • NPI 1821048927
  NPD (past)
• Emergency Medical Solutions, LTD.

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1245488519
  NPD (past)
• Grand Canyon State Inpatient Services

  • Hospitalist Physician
  • Douglas, AZ
  • NPI 1821386400
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1093759615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-818-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 W DOVE CENTRE RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "85658",
            "telephone_number": "520-616-1445",
            "fax_number": "520-616-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESCLAROS",
        "first_name": "ADOLBEN",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "MD17681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836249",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Recovery Clinic LLC
• Kellie Denise Mitchell, COTA/L
• Taylor Bryce Mitchell, FNP-C
• Karen Lynn Modrzejewski, PMHNP-BC
• Maria Mercedes Molina-Whillock, MS.SLP
• Tamara Montgomery, LPN
• Timothy Moore, LPC
• Pamela Moorehead, LISAC
• Amy Morris-Ehlo, MS,LPC
• Jossy Najela Mossle, BA, BSN, DNP, PMHNP

• Family Medicine Physician in Marana, AZ
• Providers in Marana, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.