Individual provider Active NPI

Emma P Montanez, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1164414298
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24841 Issued in NV
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3741957OtherMDCIGNA/GREAT WEST/BRAVO/ELDERHEALTH
03029353OtherMDAMERICAID
BV89-0001OtherMDCAREFIRST/BC-BS
1164414298MedicaidNV
305127OtherMDJOHNS HOPKINS EHP
7449511OtherMDAETNA/PRUDENTIAL NON-HMO
854003800MedicaidMD
1225902OtherMDUSA
524002OtherMDAETNA/PRUDENTIAL HMO
24841OtherNVSTATE LICENSE

Other names 1

  • Mrs. Emma P Montanez-Lewis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150721001551 MD Practitioner - Internal Medicine 5799697215 Reassigns benefits to 1 organization
I20240131003517 NV Practitioner - Internal Medicine 5799697215 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
D0079620MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians, Inc. Internal Medicine CurrentSince Jul 9, 2015 Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Mar 4, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Mar 4, 2024 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jul 9, 2015 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Manchester Memorial Hospital Past Accepting new patients
Prospect Rockville Hospital, Inc. Past Accepting new patients
Highland District Hospital Professional Services Corporation Internal Medicine Past Accepting new patients
Highland District Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Talbert Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Highland District Hospital Professional Services Corporation Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Internal Medicine Past Accepting new patients
Sinai Hospital of Greater Detroit Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 19

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

Verify at the official NPI Registry.