Individual provider Active NPI

Erika Montoya, M.D.

  • Family Medicine Physician
  • Berwyn, IL
National Provider Identifier
1386934008
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036134800 Issued in IL
Practice address
6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone
(708) 386-0845
Fax
(708) 386-8472
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 036134800 IL Primary

Addresses

Primary practice location

6201 Roosevelt Rd
Berwyn, IL 60402-1108

Mailing address

6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone (708) 386-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140922001940 IL Practitioner - Family Practice 5294954319 Reassigns benefits to 2 organizations
I20220322001771 TX Practitioner - Family Practice 5294954319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians
Erie Family Health Center, IncGroup PAC ID 9537050422, shared by 13 NPIs, 141 clinicians

Practice addresses (Care Compare)

12840 W Interstate 10
Suite 101
San Antonio, TX 78249-2361
Phone (210) 817-8490

1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036134800ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC Current Accepting new patients
Methodist Carenow Urgent Care PLLC Family Medicine CurrentSince Nov 14, 2024 Accepting new patients
Erie Family Health Center, Inc CurrentSince Dec 31, 2021 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
PCC Community Wellness Center CurrentSince Jul 28, 2014 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 28, 2014 Accepting new patients
TMC Provider Group PLLC CurrentSince Mar 1, 2022 Accepting new patients
TMC Provider Group PLLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Erie Family Health Center Inc CurrentSince Dec 31, 2021 Accepting new patients

Locations

6201 Roosevelt Rd
Berwyn, IL 60402
Phone (708) 386-0845

1701 W Superior St
#2
Chicago, IL 60622

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

12840 W Interstate 10
Ste 101
San Antonio, TX 78249
Phone (210) 817-8490

Interoperability endpoints

  • Direct secure messaging: emontoya368687@direct.ochin.org

Organizations & group practices 9

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1386934008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021108",
            "telephone_number": "708-386-0845",
            "fax_number": "708-386-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021108",
            "telephone_number": "708-386-0845",
            "fax_number": "708-386-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ERIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036134800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.