Active NPI
Emma P Montanez, MD
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24841
- Practice address
- 4275 Burnham Ave Ste 340
Las Vegas, NV 89119-5400 - Phone
- (702) 734-6363
- Fax
- (702) 734-6374
- NPI assigned
- Aug 16, 2005
- Last updated
- Mar 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0079620 | MD | |
| Internal Medicine Physician | 207R00000X | 24841 | NV | Primary |
Addresses
Primary practice location
4275 Burnham Ave Ste 340
Las Vegas, NV 89119-5400
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3741957 | Other | MD | CIGNA/GREAT WEST/BRAVO/ELDERHEALTH |
| 03029353 | Other | MD | AMERICAID |
| BV89-0001 | Other | MD | CAREFIRST/BC-BS |
| 1164414298 | Medicaid | NV | |
| 305127 | Other | MD | JOHNS HOPKINS EHP |
| 7449511 | Other | MD | AETNA/PRUDENTIAL NON-HMO |
| 854003800 | Medicaid | MD | |
| 1225902 | Other | MD | USA |
| 524002 | Other | MD | AETNA/PRUDENTIAL HMO |
| 24841 | Other | NV | STATE LICENSE |
Other names 1
- Mrs. Emma P Montanez-Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NV
- 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
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4275 Burnham Ave
Suite 340
Las Vegas, NV 89119-5400
Phone (702) 734-6363
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0079620 | MD | MD | Internal Medicine Physician |
Practice roles
Locations
2411 W Belvedere Ave
Ste 504
Baltimore, MD 21215
Phone (410) 601-0070
711 W 40th St
Ste 212A
Baltimore, MD 21211
Phone (410) 521-4211
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
4275 Burnham Ave
Ste 340
Las Vegas, NV 89119
Phone (702) 734-6363
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- emmamontanez@hcpnv.allscriptsdirect.net
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
dba Woodholme Medical Group
- Internal Medicine Physician
- Pikesville, MD
- NPI 1194275453
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
dba Desert Springs Hospital Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1154317964
-
dba St. Rose Dominican Hospital, Rose de Lima Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
-
dba Eastern CT Medical Professionals
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
Internal Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Critical Access Hospital
- Hillsboro, OH
- NPI 1225053119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1164414298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 BURNHAM AVE STE 340",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195400",
"telephone_number": "702-734-6363",
"fax_number": "702-734-6374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ",
"first_name": "EMMA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0079620",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "24841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/GREAT WEST/BRAVO/ELDERHEALTH",
"identifier": "3741957",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID",
"identifier": "03029353",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST/BC-BS",
"identifier": "BV89-0001",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164414298",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS EHP",
"identifier": "305127",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/PRUDENTIAL NON-HMO",
"identifier": "7449511",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "854003800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "1225902",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/PRUDENTIAL HMO",
"identifier": "524002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "24841",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "MONTANEZ-LEWIS",
"middle_name": "P",
"prefix": "MRS.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.