Active NPI
Steven Montague, PA-C
- Medical Physician Assistant
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2021030022
- Practice address
- 10012 Kennerly Rd Ste 406
Saint Louis, MO 63128-2197 - Phone
- (314) 525-1224
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58279 | CA | |
| Medical Physician Assistant | 363AM0700X | 2021030022 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 406
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 406
Saint Louis, MO 63128-2197
Phone (314) 525-1224
Other practice location 1
8590 Rio San Diego Dr Ste 111
San Diego, CA 92108-5597
Phone (855) 362-9773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10050 Kennerly Rd
Suite 25200
Saint Louis, MO 63128-2106
Phone (314) 525-4440
10538 Mission Gorge Rd
Suite 100
Santee, CA 92071-3154
Phone (619) 456-0033
1740 Rosecrans St
San Diego, CA 92106-1928
Phone (619) 790-7800
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000
5671 Balboa Ave
San Diego, CA 92111-2705
Phone (858) 800-2880
621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850
750 Otay Lakes Rd
Suite 272
Chula Vista, CA 91910-6915
760 Otay Lakes Rd
Chula Vista, CA 91910-6915
Phone (619) 821-2300
8260 Mira Mesa Blvd
Suite a
San Diego, CA 92126-2662
Phone (858) 900-3550
8590 Rio San Diego Dr
Suite 111
San Diego, CA 92108-5597
Phone (619) 736-4600
Hospital & facility affiliations
- Mercy Hospital South
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.87 of 100
- Quality
- 31.86
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 61.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Somagen Healthcare Inc | Current | Accepting new patients | |
| Somagen Healthcare Inc | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Somagen Healthcare Inc | Current | Accepting new patients | |
| Clara Lucy Polak, M.D. Inc. | Past | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300
750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462
16912 San Fernando Mission Blvd
Granada Hills, CA 91344
Phone (818) 488-6160
1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800
5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773
8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600
8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
Interoperability endpoints
- smontague317851@scrippshlth.medalliesdirect.net
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Santee, CA
- NPI 1396058137
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
-
- Emergency Medicine Physician
- Simi Valley, CA
- NPI 1023773587
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Urgent Care Clinic/Center
- Granada Hills, CA
- NPI 1043667660
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1770015901
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Family Medicine Physician
- National City, CA
- NPI 1841342243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1245878255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 406",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 406",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-1224"
}
],
"practiceLocations": [
{
"address_1": "8590 Rio San Diego Dr Ste 111",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921085597",
"country_code": "US",
"telephone_number": "855-362-9773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTAGUE",
"first_name": "STEVEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58279",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MO",
"license": "2021030022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.