Active NPI
Mona Montagne Lazar, D.O.
- Internal Medicine Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-116889
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100033772 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116889 | IL | MD | Internal Medicine Physician |
| 61602 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Baycare Aurora, LLC | Hospitalist | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Sauk Prairie Healthcare, Inc. | Internal Medicine | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
-
- Specialist
- Monroe, WI
- NPI 1386720548
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.