Active NPI
Leonard Darnell Montgomery, PA-C
- Internal Medicine Physician
- Fairmont, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8573
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (507) 238-8100
- NPI assigned
- Sep 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0007177 | MD | |
| Physician Assistant | 363A00000X | 12181 | MN | |
| Surgical Physician Assistant | 363AS0400X | 6155 | AZ | |
| Internal Medicine Physician | 207R00000X | 8573 | GA | Primary |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
1850 Town Center Pkwy Ste 309
Reston, VA 20190-3300
Phone (703) 705-4180
Other practice location 1
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 877-4509
Other practice location 2
1850 Town Center Pkwy Ste 309
Reston, VA 20190-3300
Phone (703) 705-4180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.48 of 100
- Quality
- 94.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.64 of 100
- Quality
- 97.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8573 | GA | MD | Internal Medicine Physician |
| C0007177 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Emergency Medicine | Current | Accepting new patients |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
1850 Town Center Pkwy
Ste 309
Reston, VA 20190
Phone (703) 705-4180
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Emergency Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Laurel, MD
- NPI 1831940881
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1114397742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 309",
"city": "RESTON",
"state": "VA",
"postal_code": "201903300",
"telephone_number": "703-705-4180",
"fax_number": "571-926-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8100"
}
],
"practiceLocations": [
{
"address_1": "7503 Surratts Rd",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MD",
"postal_code": "207353358",
"country_code": "US",
"telephone_number": "301-877-4509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 Town Center Pkwy Ste 309",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201903300",
"country_code": "US",
"telephone_number": "703-705-4180",
"fax_number": "571-926-8943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "LEONARD",
"middle_name": "DARNELL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-24",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007177",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12181",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "6155",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "8573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.