Individual provider Active NPI

Jon Daniel Montemayor, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1306208020
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.133707 Issued in OH
Practice address
697 Thomas LN
Columbus, OH 43214-3931
Phone
(614) 566-2426
Fax
(614) 533-0433
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.133707 OH Primary

Addresses

Primary practice location

697 Thomas LN
Columbus, OH 43214-3931

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Phone (614) 533-6497

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmontemayor144621@direct.ohiohealth.com OhioHealth Physician Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515002496 OH Practitioner - Family Practice 2860783123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

697 Thomas LN
Columbus, OH 43214-3931
Phone (614) 566-5414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2019 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

697 Thomas Ln
Columbus, OH 43214
Phone (614) 566-5414

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jon.montemayor.1@17598.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1306208020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102",
            "telephone_number": "614-533-6497",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 THOMAS LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143931",
            "telephone_number": "614-566-2426",
            "fax_number": "614-533-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "JON",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.133707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmontemayor144621@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "697 Thomas Ln",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.