Individual provider Active NPI

Christopher Lee Montgomery, M.D.

  • Anesthesiology Physician
  • Lexington, KY
National Provider Identifier
1366550824
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24741 Issued in KY
Practice address
800 Rose St Ab Chandler Medical Ctr
Department of Anesthesiology N-257
Lexington, KY 40536-0001
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 24741 KY Primary

Addresses

Primary practice location

800 Rose St Ab Chandler Medical Ctr
Department of Anesthesiology N-257
Lexington, KY 40536-0001

Mailing address

2109 Ridgecane CT
Lexington, KY 40513-1126
Phone (859) 223-0406

Other identifiers 1

IdentifierTypeStateIssuer
64247414MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080423000100 KY Practitioner - AnesthesiologyPractitioner - Pain Management 1850479452 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24741KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children Current Accepting new patients
Kentucky Medical Services Foundation, Inc Anesthesiology CurrentSince May 1, 2008 Accepting new patients
Shriners Hospitals for Children CurrentSince Feb 16, 2017 Accepting new patients
Shriners Hospitals for Children CurrentSince Feb 16, 2017 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100

Interoperability endpoints

  • Direct secure messaging: cmontgomery21756@ukhcdirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366550824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 RIDGECANE CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131126",
            "telephone_number": "859-223-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST AB CHANDLER MEDICAL CTR",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY N-257",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "24741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64247414",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.