Individual provider Active NPI

Luis Clemente Arcay Montagne, MD

  • Interventional Cardiology Physician
  • Atlantis, FL
National Provider Identifier
1225346802
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME167310 Issued in FL
Practice address
5401 S Congress Ave Ste 102
Atlantis, FL 33462-6636
Phone
(561) 967-5033
NPI assigned
Sep 17, 2010
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014029653 MO
Interventional Cardiology Physician 207RI0011X ME167310 FL Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150624001168 MO Practitioner - Internal Medicine 0244541761 Reassigns benefits to 2 organizations
I20240527000345 FL Practitioner - Interventional Cardiology 0244541761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ravikanth Chiravuri MD PAGroup PAC ID 9436399698, 2 clinicians

Practice addresses (Care Compare)

2801 NE 213TH St
Suite 811
Aventura, FL 33180-1264
Phone (305) 396-3858

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167310FLMDInterventional Cardiology Physician
15389FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jul 1, 2024 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Missouri Delta Medical Center Internal Medicine CurrentSince Mar 28, 2015 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jun 16, 2019 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 28, 2015 Accepting new patients
Ravikanth Chiravuri MD PA PastSince Jun 29, 2025 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine Past Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

8240 S State Road 7
Ste 190
Boynton Beach, FL 33472
Phone (561) 600-7575

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

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

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1225346802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-649-7000",
            "fax_number": "561-964-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 102",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626636",
            "telephone_number": "561-967-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCAY MONTAGNE",
        "first_name": "LUIS",
        "middle_name": "CLEMENTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014029653",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME167310",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "15389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.