Individual provider Active NPI

Pedro S Montano, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • McAllen, TX
National Provider Identifier
1326114976
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
F7849 Issued in TX
Practice address
1623 Pecan Blvd Ste B
McAllen, TX 78501-4214
Phone
(956) 686-3375
Fax
(855) 388-3037
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F7849 TX
Allergy Physician 207KA0200X F7849 TX
Hearing Instrument Specialist 237700000X F7849 TX
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X F7849 TX Primary

Addresses

Primary practice location

1623 Pecan Blvd Ste B
McAllen, TX 78501-4214

Mailing address

1209 S 10TH St
Ste a 725
McAllen, TX 78501-5059
Phone (956) 686-3375

Other practice location 1

1200 Central Blvd Ste A3
Brownsville, TX 78520-7537
Phone (956) 548-0001

Other identifiers 5

IdentifierTypeStateIssuer
00EY77OtherTXMEDICARE PTAN
040001655OtherTXRAILROAD MEDICARE
120648406MedicaidTX
120648408MedicaidTX
120648405MedicaidTX

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
I20051019000057 TX Practitioner - OtolaryngologyPractitioner - Maxillofacial SurgeryPractitioner - Allergy/ImmunologyPractitioner - Family Practice 0547286692 Practice locations: Brownsville, TX; McAllen, TX; Rio Grande City, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7849TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1326114976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S 10TH ST",
            "address_2": "STE A 725",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015059",
            "telephone_number": "956-686-3375",
            "fax_number": "956-686-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 PECAN BLVD STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014214",
            "telephone_number": "956-686-3375",
            "fax_number": "855-388-3037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Central Blvd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785207537",
            "country_code": "US",
            "telephone_number": "956-548-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "PEDRO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7849",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "F7849",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "F7849",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "F7849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00EY77",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040001655",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120648406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120648408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120648405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.