Individual provider Active NPI

Jessica Ann Montalvo, MD

  • Internal Medicine Physician
  • Hebron, CT
National Provider Identifier
1346467941
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.117542 Issued in IL
Practice address
27 Main St
Hebron, CT 06248-1514
Phone
(860) 438-7096
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TPME362 FL
Internal Medicine Physician 207R00000X EMC0000426 MI
Internal Medicine Physician 207R00000X DR.0072476 CO
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 73493 CT
Internal Medicine Physician 207R00000X 55518 TN
Internal Medicine Physician 207R00000X C171520 CA
Internal Medicine Physician 207R00000X 036.117542 IL Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 01077587A IN
Internal Medicine Physician 207R00000X MD471779 PA
Internal Medicine Physician 207R00000X 25MA10896800 NJ
Internal Medicine Physician 207R00000X 50058 KY
Internal Medicine Physician 207R00000X 35.130316 OH
Internal Medicine Physician 207R00000X S7508 TX
Internal Medicine Physician 207R00000X 285979 MA
Internal Medicine Physician 207R00000X 305413 NY

Addresses

Primary practice location

27 Main St
Hebron, CT 06248-1514

Mailing address

4847 N Winthrop Ave Apt 1S
Chicago, IL 60640-4489
Phone (312) 479-3923

Other practice location 1

3S517 Winfield Rd Ste B
Warrenville, IL 60555-3160
Phone (630) 791-9335

Other identifiers 1

IdentifierTypeStateIssuer
C171520OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

680 N Lake Shire Dr
Suite 1000
Chicago, IL 60611-8709

680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-3092

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C171520CAMDInternal Medicine Physician
036.117542ILMDInternal Medicine Physician
04-40201KSMDHospice and Palliative Medicine (Internal Medicine) Physician
2017023779MOMDHospice and Palliative Medicine (Internal Medicine) Physician

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1346467941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 N WINTHROP AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404489",
            "telephone_number": "312-479-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481514",
            "telephone_number": "860-438-7096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3S517 Winfield Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553160",
            "country_code": "US",
            "telephone_number": "630-791-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TPME362",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "EMC0000426",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0072476",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "73493",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "55518",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C171520",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.117542",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01077587A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10896800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "50058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.130316",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "285979",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C171520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

Verify at the official NPI Registry.