Individual provider Active NPI

Peter P. Monteleone, MD

  • Interventional Cardiology Physician
  • Kyle, TX
National Provider Identifier
1164625760
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q8962 Issued in TX
Practice address
1180 Seton Pkwy
Suite 450
Kyle, TX 78640-6178
Phone
(512) 504-0860
Fax
(512) 504-0861
NPI assigned
Jun 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Q8962 TX Primary
Cardiovascular Disease Physician 207RC0000X Q8962 TX

Addresses

Primary practice location

1180 Seton Pkwy
Suite 450
Kyle, TX 78640-6178

Mailing address

1301 W 38TH St
Suite 400
Austin, TX 78705-1000
Phone (512) 324-3440

Other identifiers 3

IdentifierTypeStateIssuer
8GA895OtherTXBCBS
361468702MedicaidTX
361468701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160810002025 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3375727514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Tufts University School of Dental Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1101 Wolf Lake Dr
Georgetown, TX 78628-3778

11111 Research Blvd
Suite 300
Austin, TX 78759-5792
Phone (844) 448-8124

1180 Seton Pkwy
Kyle, TX 78640-6178

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

301 Seton Pkwy
Round Rock, TX 78665-8003

4207 James Casey St
Suite 317
Austin, TX 78745-3362
Phone (512) 324-3447

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

630 Hwy 71 W
Ascension Seton Bastrop
Bastrop, TX 78602-4234
Phone (512) 324-3440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Leg revascularization (restoring blood flow)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q8962TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Aug 1, 2016 Accepting new patients
Seton Family of Doctors Cardiovascular Disease CurrentSince Aug 1, 2016 Accepting new patients

Locations

1301 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 324-3340

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1180 Seton Pkwy
Ste 450
Kyle, TX 78640
Phone (512) 504-0860

Interoperability endpoints

  • Direct secure messaging: peter.monteleone.1@8363.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1164625760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "SUITE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-324-3440",
            "fax_number": "512-406-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 450",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406178",
            "telephone_number": "512-504-0860",
            "fax_number": "512-504-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELEONE",
        "first_name": "PETER",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q8962",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q8962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GA895",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361468702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361468701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.