Active NPI
Robert Komron Montazemi, MD
- Hospitalist Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME16184
- Practice address
- 1300 Miccosukee Rd
Tallahassee, FL 32308-5054 - Phone
- (850) 431-4556
- NPI assigned
- Mar 14, 2006
- Last updated
- Sep 6, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31953 | KY | |
| Internal Medicine Physician | 207R00000X | ME16184 | FL | |
| Internal Medicine Physician | 207R00000X | 35-067214 | OH | |
| Internal Medicine Physician | 207R00000X | 01051276A | IN | |
| Hospitalist Physician | 208M00000X | ME16184 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Mailing address
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-4556
Other practice location 1
100 Hospital Dr
Barnesville, OH 43713-1098
Phone (740) 425-5140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2063109 | Medicaid | OH | |
| 200109320 | Medicaid | IN | |
| 000000716795 | Other | KY | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rmontazemi38590@edirect.crh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY, OH, FL, VA, NC, AL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME16184 | FL | MD | Internal Medicine Physician |
| 01051276A | IN | MD | Internal Medicine Physician |
| 35-067214 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| Hni Hospital Services of Florida, LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Ky, LLC | Hospitalist | Current | Accepting new patients |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| First Step Recovery Center | Current | Accepting new patients | |
| First Step Recovery Center | Current | Accepting new patients | |
| Apogee Medical Group Ohio Inc | Internal Medicine | Current | Accepting new patients |
| Pensacola Hospitalist Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| Pensacola Hospitalist Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Alabama, LLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Parkview Health System Inc | Internal Medicine | Current | Accepting new patients |
| Parkview Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Flowers HB Medical Services LLC | Hospitalist | Current | Accepting new patients |
| Health Services Corporation of Southeastern Indiana | Past | Accepting new patients | |
| Summit Medical Group, Inc. | Past | Accepting new patients | |
| Health Services Corporation of Southeastern Indiana | Internal Medicine | Past | Accepting new patients |
| Cornerstone Project, LLC | Past | Accepting new patients | |
| Ohio Valley Physicians Inc | Past | Accepting new patients | |
| Triad of Alabama LLC | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
4124 Linden Ave
Ste 100
Dayton, OH 45432
Phone (937) 203-8561
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878
1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- ms_rmontaze@landmarkhealth-direct.org
- rmontazemi38590@edirect.crh.org
Organizations & group practices 25
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.
-
- Hospitalist Physician
- Bowling Green, KY
- NPI 1215634373
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1487254140
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Addiction Medicine (Family Medicine) Physician
- Reynoldsburg, OH
- NPI 1467826453
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Internal Medicine
-
- Internal Medicine Physician
- Scottsboro, AL
- NPI 1609615889
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1437869302
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Greenview Regional Hospital
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
-
dba Troy Regional Medical Center
- Rural Acute Care Hospital
- Troy, AL
- NPI 1770814626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1184692238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-4556"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Barnesville",
"state": "OH",
"postal_code": "437131098",
"country_code": "US",
"telephone_number": "740-425-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTAZEMI",
"first_name": "ROBERT",
"middle_name": "KOMRON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "31953",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME16184",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-067214",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01051276A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME16184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2063109",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200109320",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000716795",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rmontazemi38590@edirect.crh.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "2400 17th St",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472015351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.