Active NPI
Michael Dea Montague, MD
- Orthopaedic Hand Surgery Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 55473
- Practice address
- 2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Jun 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 55473 | AZ | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 55473 | AZ |
Addresses
Primary practice location
2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Other practice location 1
3033 N 44th St Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Arizona College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 E Banner Gateway Dr
Gilbert, AZ 85234-2168
5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115
Hospital & facility affiliations
- Honorhealth Four Peaks Medical Center
- Honorhealth Scottsdale Osborn Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Specialists of North America, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614
1675 E Melrose St
Unit 101103
Gilbert, AZ 85297
2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234
2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234
1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161
1675 E Melrose St
Unit 101
Gilbert, AZ 85297
3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161
3033 N 44th St
Ste 120
Phoenix, AZ 85018
Phone (602) 631-3166
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Endocrinology, Diabetes & Metabolism Physician
- Phoenix, AZ
- NPI 1992038004
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1336461144
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
-
- General Acute Care Hospital
- Florence, AZ
- NPI 1497572036
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1861219404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1174886790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E BANNER GATEWAY DR STE 200-250",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342168",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [
{
"address_1": "3033 N 44th St Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85018",
"country_code": "US",
"telephone_number": "602-631-3161",
"fax_number": "602-631-3162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTAGUE",
"first_name": "MICHAEL",
"middle_name": "DEA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "AZ",
"license": "55473",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "55473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.