Amanda Montalbano, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2013010101 Issued in MO

Practice address

20300 E Valley View Pkwy
Children'S Mercy Hospital
Independence, MO 64057-1672

Phone

(816) 478-5252

NPI assigned

Jun 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda G. Montalbano Other name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

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.

• The Children'S Mercy Hospital

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1851437719

  KS

  Medicare reassignment NPD
• The Children'S Mercy Hospital

  • Mail Order Pharmacy
  • Riverside, MO
  • NPI 1235923194
  NPD

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1295046977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 E VALLEY VIEW PKWY",
            "address_2": "CHILDREN'S MERCY HOSPITAL",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571672",
            "telephone_number": "816-478-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBANO",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-36395",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2013010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MONTALBANO",
            "middle_name": "G.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hamid Reza Molavi, PHARM-D
• Andrew C Monrad, RPH
• Hatty Lynn Monroe
• Valerie Mae Monroy, PNP
• Joshua Montague, DPT
• Monterey Park Nursing Center, Inc
• Jami Montesano, PHARM. D
• John Russell Moore, M.D.
• Lindsay O Moore, LMSW
• Stephanie Moore, FNP-C

• Pediatrics Physician in Independence, MO
• Providers in Independence, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.

Verify at the official NPI Registry.