Individual provider Active NPI

Michael Eric Monteagut, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1104477116
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9112574 Issued in FL
Practice address
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone
(407) 254-2500
NPI assigned
Sep 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112574 FL
Surgical Physician Assistant 363AS0400X PA9112574 FL Primary

Addresses

Primary practice location

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476

Mailing address

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Other practice location 1

9685 Lake Nona Village Pl Ste 102
Orlando, FL 32827-7321
Phone (407) 418-0582

Other practice location 2

13838 Tilden Rd
Winter Garden, FL 34787-5318
Phone (407) 287-9113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121001158 FL Practitioner - Physician Assistant 5991137440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
88.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112574FLMDPhysician Assistant

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Apr 19, 2021 Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Mar 1, 2023 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Jul 25, 2022 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince May 1, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Jul 25, 2022 Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Mar 1, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6424 Alexandra Louise Dr
Ste 200
Orlando, FL 32827
Phone (407) 418-0582

9685 Lake Nona Village Pl
Ste 102
Orlando, FL 32827
Phone (407) 418-0582

25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500

13838 Tilden Rd
Winter Garden, FL 34787
Phone (407) 254-2500

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.monteagut.p1@direct.ooc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1104477116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9685 Lake Nona Village Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277321",
            "country_code": "US",
            "telephone_number": "407-418-0582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13838 Tilden Rd",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875318",
            "country_code": "US",
            "telephone_number": "407-287-9113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEAGUT",
        "first_name": "MICHAEL",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112574",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.