Active NPI
Mark Edward Montgomery, DO
- Anesthesiology Physician
- Cincinnati, OH
National Provider Identifier
1265234652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 58.034643
- Practice address
- 3177 Bellevue Ave.
Cincinnati, OH 45219-0796 - Phone
- (513) 558-6356
- Fax
- (513) 558-0995
- NPI assigned
- Mar 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 58.034643 | OH | Primary |
Addresses
Primary practice location
3177 Bellevue Ave.
Cincinnati, OH 45219-0796
Mailing address
231 Albert Sabin Way
Cincinnati, OH 45267-0531
Phone (513) 558-6356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250630003827 | OH | Order and Referring Only - Anesthesiology | 7517470800 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1265234652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452670531",
"telephone_number": "513-558-6356",
"fax_number": "513-558-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3177 BELLEVUE AVE.",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452190796",
"telephone_number": "513-558-6356",
"fax_number": "513-558-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "MARK",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-26",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "58.034643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.