Individual provider Active NPI

Marelli Montanez, D.O.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1205275609
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R8623 Issued in TX
Practice address
7400 Fannin St Ste 755
Houston, TX 77054
Phone
(713) 658-0358
Fax
(713) 658-9414
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R8623 TX Primary

Addresses

Primary practice location

7400 Fannin St Ste 755
Houston, TX 77054

Mailing address

7400 Fannin St Ste 755
Houston, TX 77054-1934
Phone (713) 658-0358

Other practice location 1

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6446

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
I20181210000427 TX Practitioner - Obstetrics/Gynecology 6002150695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dolar S. Patolia, M.D.,P.a.Group PAC ID 3870641434, 5 clinicians

Practice addresses (Care Compare)

7900 Fannin St
Suite 2800
Houston, TX 77054-2960
Phone (713) 658-0358

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8623TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dolar S. Patolia, M.D.,P.a. Obstetrics & Gynecology CurrentSince Aug 10, 2018 Accepting new patients
Chca Womans Hospital LP Past Accepting new patients
Unified Women'S Healthcare of Texas PLLC Obstetrics & Gynecology PastSince Aug 10, 2018 Accepting new patients

Locations

7900 Fannin St
Ste 2800
Houston, TX 77054
Phone (713) 658-0358

7400 Fannin St
Ste 755
Houston, TX 77054
Phone (713) 658-0358

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIHAD/Endpoint/GDIHAD

Organizations & group practices 3

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1205275609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 755",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541934",
            "telephone_number": "713-658-0358",
            "fax_number": "713-658-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 755",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-658-0358",
            "fax_number": "713-658-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012031",
            "country_code": "US",
            "telephone_number": "631-548-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "MARELLI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R8623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.