Individual provider Active NPI

Amy Montoya, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1093990202
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N5878 Issued in TX
Practice address
1455 Wirt Rd
Houston, TX 77055-4916
Phone
(713) 468-4071
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N5878 TX Primary

Addresses

Primary practice location

1455 Wirt Rd
Houston, TX 77055-4916

Mailing address

PO Box 841969
Dallas, TX 75284-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240906002422 WA Practitioner - Pediatric Medicine 8527202993 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 1, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 1, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Locations

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

Organizations & group practices 7

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1093990202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841969",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554916",
            "telephone_number": "713-468-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N5878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.