Active NPI
Michael Salvatore Montileone, MD
- Diagnostic Radiology Physician
- Williamsburg, VA
National Provider Identifier
1164537213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101230446
- Practice address
- 100 Sentara Circle
Sentara Williamsburg Regional Medical Center
Williamsburg, VA 23188 - Phone
- (757) 984-7890
- Fax
- (757) 984-7891
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101230446 | VA | Primary |
Addresses
Primary practice location
100 Sentara Circle
Sentara Williamsburg Regional Medical Center
Williamsburg, VA 23188
Mailing address
PO Box 12127
Tidewater Diagnostic Imaging
Newport News, VA 23612-2121
Phone (757) 867-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7204868 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230446 | VA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164537213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12127",
"address_2": "TIDEWATER DIAGNOSTIC IMAGING",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236122121",
"telephone_number": "757-867-6101",
"fax_number": "757-867-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SENTARA CIRCLE",
"address_2": "SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23188",
"telephone_number": "757-984-7890",
"fax_number": "757-984-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTILEONE",
"first_name": "MICHAEL",
"middle_name": "SALVATORE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101230446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7204868",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.