Active NPI
Jessica Ann Montalvo, MD
- Internal Medicine Physician
- Hebron, CT
National Provider Identifier
1346467941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.117542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C171520 | Other | CA | STATE 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
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C171520 | CA | MD | Internal Medicine Physician |
| 036.117542 | IL | MD | Internal Medicine Physician |
| 04-40201 | KS | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| 2017023779 | MO | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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; Opt Out Affidavits.
- 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.