Individual provider Active NPI

Manuel Montero, M.D.

  • Nephrology Physician
  • New Bern, NC
National Provider Identifier
1114929346
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
9800097 Issued in NC
Practice address
970 Newman Rd
New Bern, NC 28562-5200
Phone
(252) 633-9262
Fax
(252) 317-2094
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 9800097 NC Primary

Addresses

Primary practice location

970 Newman Rd
New Bern, NC 28562-5200

Mailing address

970 Newman Rd
New Bern, NC 28562-5200
Phone (252) 633-9262

Other identifiers 2

IdentifierTypeStateIssuer
891109VMedicaidNC
1109VOtherNCBCBS OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070223000192 NC Practitioner - NephrologyPractitioner - Internal Medicine 4486756368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Nephrology Associates PLLC 75 clinicians

Practice addresses (Care Compare)

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

Hospital & facility affiliations

  • FMC Dialysis of Craven County Dialysis facility, New Bern, NC, CCN 342585
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800097NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Oct 26, 2024 Accepting new patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jan 1, 1998 Accepting new patients
Carteret Medical Group LLC CurrentSince Feb 28, 2025 Accepting new patients

Locations

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

302 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

970 Newman Rd
New Bern, NC 28562
Phone (252) 633-9262

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

Interoperability endpoints

  • Direct secure messaging: manuelmontero@ena.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mmontero22344@direct.acumenmd.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.

Hospital & facility affiliations 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1114929346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-9262",
            "fax_number": "252-317-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-9262",
            "fax_number": "252-317-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "9800097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891109V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1109V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.