Scott A Montgomery, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0424895 Issued in KS

Practice address

7450 Kessler St Ste 110
Merriam, KS 66204-2550

Phone

(913) 831-1003

Fax

(913) 831-4801

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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

Specialty

Urology

Education

University of Kansas School of Med (KC/Wich/Sal), 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Midwest Division - LRHC LLCGroup PAC ID 0941119150, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Lafayette Regional Health Center Hospital, Lexington, MO, CCN 261320
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kansas City Urology Care, P.a.

  • Urology Physician
  • Overland Park, KS
  • NPI 1528024676

  MO

  Medicare reassignment Care Compare group NPD
• Midwest Division - LRHC LLC

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1639362460
  Medicare reassignment Care Compare group NPD
• Saint Lukes Hospital of Chillicothe

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  • Medicare Defined Swing Bed Hospital Unit
  • Chillicothe, MO
  • NPI 1881638203
  NPD
• Midwest Division - LRHC LLC

  • Rural Health Clinic/Center
  • Higginsville, MO
  • NPI 1740246693
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth South Overland Park, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• Midwest Division - LRHC LLC

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1679520258
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke'S Hospital of Kansas City

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1245280791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 110",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-831-1003",
            "fax_number": "913-831-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 110",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-831-1003",
            "fax_number": "913-831-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "100279",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0424895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22048035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179650B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340016719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel M Mitchelson, CRNA
• Bailey Mixon, PT
• Brande Molina, OTR/L
• Heather Monrad
• Andrew Montalbano, MD
• Angela Moody
• Andrew E Moore, MD
• Valerie Moore
• Tessa Dawn Morrissey, M.A., CCC-SLP
• Kristen Mulholland, R.N.

• Urology Physician in Merriam, KS
• Providers in Merriam, KS by specialty
• Urology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.

Verify at the official NPI Registry.