Individual provider Active NPI

Luis Montalvo, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1164423653
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004900 Issued in NY
Practice address
7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2305
Phone
(718) 745-7266
Fax
(718) 491-2765
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N004900 NY Primary

Addresses

Primary practice location

7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2305

Mailing address

7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2305
Phone (718) 745-7266

Other identifiers 1

IdentifierTypeStateIssuer
01284739MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000229 NY Practitioner - Podiatry 1658441423 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
TD Podiatry PCGroup PAC ID 0749599629, 7 clinicians

Practice addresses (Care Compare)

150 Delancey St
Suite a
New York, NY 10002-3308
Phone (212) 233-3233

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue176
Removal or shaving of skin growth135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004900NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
TD Podiatry Ny PC Foot & Ankle Surgery CurrentSince Jul 9, 2022 Accepting new patients
TD Podiatry PC Foot & Ankle Surgery CurrentSince Jul 9, 2022 Accepting new patients
Boro Medical, P.C. Past Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

150 Delancey St
Ste A
New York, NY 10002
Phone (212) 233-3233

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1164423653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282305",
            "telephone_number": "718-745-7266",
            "fax_number": "718-491-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282305",
            "telephone_number": "718-745-7266",
            "fax_number": "718-491-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01284739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.