Holly Montgomery, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

04-42387 Issued in KS

Practice address

3232 E Murdock St
Wichita, KS 67208-3003

Phone

(316) 685-7234

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Obstetrics/Gynecology

Education

University of Kansas School of Med (KC/Wich/Sal), 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Womens Health PAGroup PAC ID 7214903814, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: holly.montgomery.p1@direct.awhobgyn.nextgenshare.com

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.

• Associates in Womens Health PA

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1124139514
  Medicare reassignment Care Compare group NPD
• Hunter Health Clinic Inc

  dba Main

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1376618348
  Medicare reassignment NPD
• Wesley Physicians Medical Specialties LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1699069732
  Medicare reassignment NPD
• Hunter Health Clinic, Inc

  dba Hunter Health At Open Door

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1841759453
  NPD
• Wesley Pathology Consultants PA

  • Clinical Pathology/Laboratory Medicine Physician
  • Wichita, KS
  • NPI 1770568263
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  NPD (past)
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1356723035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083003",
            "telephone_number": "316-685-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083003",
            "telephone_number": "316-685-7234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-962-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144436",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 N Grove St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144520",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E 2nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672022504",
            "country_code": "US",
            "telephone_number": "316-262-2414",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 S Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672101304",
            "country_code": "US",
            "telephone_number": "316-652-0152",
            "fax_number": "316-652-0928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 N Market St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143521",
            "country_code": "US",
            "telephone_number": "316-858-1151",
            "fax_number": "316-858-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "94-08732",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-42387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Azusena Montelongo, MD
• Karla S Montelongo, APRN
• Montera Health Kansas LLC
• Montgomery Pediatrics
• Dylan Montgomery, PHARMD
• Olivia Montgomery, RN
• Philip Montgomery, M.D.
• Shendall Montgomery
• Montoya Family Practice, PA
• Jacqueline Montoya, PHARMD

• Obstetrics & Gynecology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.

Verify at the official NPI Registry.