Luis Clemente Arcay Montagne, MD
Individual provider Active NPI Interventional Cardiology Physician · Atlantis, FL
NPI 1225346802 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1225346802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- ME167310 (FL)
- Practice address
- 5401 S Congress Ave Ste 102
Atlantis, FL 33462-6636 - Phone
- (561) 967-5033
- NPI assigned
- Sep 17, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ravikanth Chiravuri MD PA
Practice addresses (Care Compare)
2801 NE 213TH St
Suite 811
Aventura, FL 33180-1264
Phone (305) 396-3858
Hospital & facility affiliations
- HCA Florida Aventura Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624001168 | MO | Practitioner - Internal Medicine | 0244541761 | Reassigns benefits to 2 organizations |
| I20240527000345 | FL | Practitioner - Interventional Cardiology | 0244541761 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014029653 | MO | MD | Internal Medicine Physician |
| ME167310 | FL | MD | Interventional Cardiology Physician |
| 15389 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists of the Palm Beaches Inc | Internal Medicine | Current |
Accepting new patients |
| Southeast Missouri Hospital Physicians, LLC | Current |
Accepting new patients | |
| Medical Specialists of the Palm Beaches Inc | Current |
Accepting new patients | |
| Missouri Delta Medical Center | Internal Medicine | Current |
Accepting new patients |
| Missouri Delta Medical Center | Current |
Accepting new patients | |
| Ravikanth Chiravuri MD PA | Past |
Accepting new patients | |
| Medical Specialists of the Palm Beaches Inc | Internal Medicine | Past | Accepting new patients |
Locations
8240 S State Road 7
Ste 190
Boynton Beach, FL 33472
Phone (561) 600-7575
7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000
5401 S Congress Ave
Ste 102
Lake Worth, FL 33462
10115 Forest Hill Blvd
Ste 200
Wellington, FL 33414
Phone (561) 793-5155
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABJHDD/Endpoint/ABJHDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2014029653 | MO | |
| Interventional Cardiology Physician | 207RI0011X | ME167310 | FL | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 15389 | FL |
Addresses
Primary practice location
5401 S Congress Ave Ste 102
Atlantis, FL 33462-6636
Mailing address
7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 649-7000
Other providers in Atlantis, FL
- Farahnaz Angella
- Moise W Anglade
- Mauricio Antezana
- Jason Michael Appelbaum
- Aquamed Centers
- Jeffrey Arce Morales
- Naisohn Steven Arfai
- Arletta U Marunowska MD PA
- Jose F. Arrascue
- Omar Asad
All providers in Atlantis, FL · Interventional Cardiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.