Active NPI
Lorie A. Montag, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 102401
- Practice address
- 1212 Pleasant
Suite #LL3
Des Moines, IA 50309-1414 - Phone
- (515) 241-8861
- Fax
- (515) 241-8855
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 102401 | MO | Primary |
Addresses
Primary practice location
1212 Pleasant
Suite #LL3
Des Moines, IA 50309-1414
Mailing address
PO Box 744327
Atlanta, GA 30374-4327
Phone (515) 241-8861
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001057500 | Other | COMMUNITY HEALTH PLAN | |
| 25321019 | Other | BLUE CROSS BLUE SHIELD KC | |
| 100324250A | Medicaid | KS | |
| 203860804 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Missouri, Columbia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4593
Hospital & facility affiliations
- Menorah Medical Center
- Lee'S Summit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102401 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irl Pathology Services Midamerica, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Northwest Missouri Pathologists, M.D., P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kansas City, MO
- NPI 1497271480
KS
-
- Specialist
- Saint Joseph, MO
- NPI 1548207087
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1225085871
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1114953205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744327",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744327",
"telephone_number": "515-241-8861",
"fax_number": "515-241-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT",
"address_2": "SUITE #LL3",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091414",
"telephone_number": "515-241-8861",
"fax_number": "515-241-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAG",
"first_name": "LORIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "102401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001057500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KC",
"identifier": "25321019",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100324250A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203860804",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.