Individual provider Active NPI

Norberto J C Montani, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Grand Prairie, TX
National Provider Identifier
1316983893
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D7640 Issued in TX
Practice address
200 N Carrier Pkwy
Ste 109
Grand Prairie, TX 75050
Phone
(972) 264-4221
Fax
(972) 266-9063
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D7640 TX Primary

Addresses

Primary practice location

200 N Carrier Pkwy
Ste 109
Grand Prairie, TX 75050

Mailing address

200 N Carrier Pkwy
Ste 109
Grand Prairie, TX 75050
Phone (972) 264-4221

Other identifiers 1

IdentifierTypeStateIssuer
122994001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090609000280 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9739239088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 W Division St
Texas Masonic Retirement and Nursing Home
Arlington, TX 76012-3818
Phone (817) 275-2893

820 Small St
Grand Prairie, TX 75050-5856
Phone (972) 262-1351

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D7640TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norberto J C Montani & Associates Geriatric Medicine CurrentSince May 14, 2003 Accepting new patients
Stephens Memorial Hospital District PastSince Jul 14, 2025 Accepting new patients

Locations

1501 W Division St
Arlington, TX 76012
Phone (817) 275-2893

820 Small St
Grand Prairie, TX 75050
Phone (972) 262-1351

2455 Robinson Rd
#100
Grand Prairie, TX 75051
Phone (469) 626-8195

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage at Turner Park Health & RehabGrand Prairie, TX, CCN 455733 Skilled nursing facility Adp of the SNF Jul 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1316983893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CARRIER PKWY",
            "address_2": "STE 109",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "972-264-4221",
            "fax_number": "972-266-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CARRIER PKWY",
            "address_2": "STE 109",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "972-264-4221",
            "fax_number": "972-266-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANI",
        "first_name": "NORBERTO",
        "middle_name": "J C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "D7640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122994001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.