Individual provider Active NPI

Mona Montagne Lazar, D.O.

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1316085889
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-116889 Issued in IL
Practice address
202 S Park St
Madison, WI 53715-1507
Phone
(608) 417-6000
NPI assigned
Feb 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-116889 IL Primary
Hospitalist Physician 208M00000X 036116889 IL
Hospitalist Physician 208M00000X 61602 WI
Internal Medicine Physician 207R00000X 61602 WI

Addresses

Primary practice location

202 S Park St
Madison, WI 53715-1507

Mailing address

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6103

Other practice location 1

1000 Mineral Point Ave
Janesville, WI 53548-2982
Phone (608) 756-6868

Other practice location 2

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 456-6000

Other identifiers 1

IdentifierTypeStateIssuer
100033772MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20080112000019 IL Practitioner - Internal Medicine 6901987213 Reassigns benefits to 4 organizations
I20131218000735 WI Practitioner - Internal Medicine 6901987213 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak
Peoria, IL 61636-0001
Phone (309) 672-5522

221 NE Glen Oak Ave
Peoria, IL 61636-0001

3803 Spring St
Mount Pleasant, WI 53405-1660
Phone (262) 687-8260

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 353-0825

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116889ILMDInternal Medicine Physician
61602WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Feb 16, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 4, 2026 Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Dec 22, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Feb 16, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 15, 2024 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Apr 1, 2024 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Oct 17, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 11, 2024 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 11, 2024 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince Oct 4, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Sauk Prairie Healthcare, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A1
Peoria, IL 61602

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mlazardo427007@carlehiedirect.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1316085889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482982",
            "country_code": "US",
            "telephone_number": "608-756-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047668",
            "country_code": "US",
            "telephone_number": "920-456-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "MONA",
        "middle_name": "MONTAGNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-116889",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036116889",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "61602",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "61602",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100033772",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.