NPIMap

Organization Active NPI

Montoya Family Practice, PA

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1265592232
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0429228 Issued in KS
Legal business name
MONTOYA FAMILY PRACTICE, PA
Practice address
8451 E Pawnee St
Wichita, KS 67207-5420
Phone
(316) 618-0035
Fax
(316) 618-0010
NPI assigned
Dec 11, 2006
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Dr. Natalia Montoya, M.D.NPI 1194791848
Title
Owner
Phone
(316) 618-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00731 KS
Family Nurse Practitioner 363LF0000X 45218 KS
Family Medicine Physician 207Q00000X 0429228 KS Primary

Addresses

Primary practice location

8451 E Pawnee St
Wichita, KS 67207-5420

Mailing address

8451 E Pawnee St
Wichita, KS 67207-5420
Phone (316) 618-0035

Other identifiers 3

IdentifierTypeStateIssuer
200622560AMedicaidKS
103702OtherKSMEDICARE PTAN
111291OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080807000311 KS Part B Supplier - Clinic/Group Practice 7416021589 Receives reassigned benefits from 4 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

8451 E Pawnee St
Wichita, KS 67207
Phone (316) 618-0035

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1265592232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 E PAWNEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075420",
            "telephone_number": "316-618-0035",
            "fax_number": "316-618-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 E PAWNEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075420",
            "telephone_number": "316-618-0035",
            "fax_number": "316-618-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTOYA FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-618-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45218",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200622560A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103702",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "111291",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.