NPIMap

Individual provider Active NPI

Monty Brian Polonsky, M.D.

  • Hematology & Oncology Physician
  • Arcadia, CA
National Provider Identifier
1205926565
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G62039 Issued in CA
Practice address
622 W Duarte Rd
Suite 202
Arcadia, CA 91007-7606
Phone
(626) 446-4461
Fax
(626) 445-0647
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G62039 CA Primary

Addresses

Primary practice location

622 W Duarte Rd
Suite 202
Arcadia, CA 91007-7606

Mailing address

622 W Duarte Rd
Suite 202
Arcadia, CA 91007-7606
Phone (626) 446-4461

Other identifiers 2

IdentifierTypeStateIssuer
CB236677OtherCAMEDICARE GR ID
G62039OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706001061 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4789620295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shapiro Stafford Yee and Polonsky PCGroup PAC ID 6800109679, 3 clinicians

Practice addresses (Care Compare)

315 N 3Rd Ave
Suite 301
Covina, CA 91723-1916
Phone (626) 331-0400

622 W Duarte Rd
Suite 202
Arcadia, CA 91007-9272
Phone (626) 446-4461

Hospital & facility affiliations

  • Vitas Healthcare Corp Hospice, Covina, CA, CCN 051608
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62039CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shapiro Stafford Yee & Polonsky PC Hematology & Oncology CurrentSince May 1, 2015 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
California Cancer Specialists Medical Group Inc Hematology & Oncology Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

622 W Duarte Rd
Ste 202
Arcadia, CA 91007
Phone (626) 446-4461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: monty.polonsky.p3@direct.scoa.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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 3

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1205926565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-446-4461",
            "fax_number": "626-445-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-446-4461",
            "fax_number": "626-445-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONSKY",
        "first_name": "MONTY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G62039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GR ID",
            "identifier": "CB236677",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G62039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.