NPIMap

Individual provider Active NPI

Timothy Ray Montalvo, M.D.

  • Internal Medicine Physician
  • China Spring, TX
National Provider Identifier
1417394255
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q7085 Issued in TX
Practice address
350 Appaloosa LN
China Spring, TX 76633-3458
Phone
(972) 825-7449
NPI assigned
Jun 3, 2013
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 BP10047206 TX
Internal Medicine Physician 207R00000X Q7085 TX Primary

Addresses

Primary practice location

350 Appaloosa LN
China Spring, TX 76633-3458

Mailing address

350 Appaloosa LN
China Spring, TX 76633-3458
Phone (972) 825-7449

Other practice location 1

206 Greenbriar St
Belton, TX 76513-1506
Phone (972) 825-7449

Other practice location 2

7005 Mira Loma Ln Ste 101
Austin, TX 78723-1411
Phone (512) 470-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115001138 TX Practitioner - Internal Medicine 9032498019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Navarro Hospital LPGroup PAC ID 0143126888, 5 clinicians

Practice addresses (Care Compare)

3124 W Hwy 22
Corsicana, TX 75110-2435
Phone (903) 641-4270

400 Hospital Dr
Suite 101
Corsicana, TX 75110-2489
Phone (903) 654-4565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7085TXMDInternal Medicine Physician
BP10047206TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Mar 1, 2023 Accepting new patients
Certified Nurse Practitioners, PC CurrentSince Dec 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Navarro Hospital LP Current Accepting new patients
Navarro Hospital LP CurrentSince Nov 5, 2023 Accepting new patients
Avid Central Texas LLC Past Accepting new patients
Scott & White Hospital Past Accepting new patients
MSL Meridian Past Accepting new patients

Locations

7005 Mira Loma Ln
Ste 101
Austin, TX 78723
Phone (254) 640-9581

301 Hospital Dr
#150
Corsicana, TX 75110
Phone (903) 641-4800

400 Hospital Dr
Ste 101
Corsicana, TX 75110
Phone (903) 641-3800

5900 Clover Ln
Waco, TX 76710
Phone (254) 772-0610

Interoperability endpoints

  • Direct secure messaging: timothy.montalvo.1@1902.direct.athenahealth.com
  • Direct secure messaging: timothy.montalvo.3@1902.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1417394255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 APPALOOSA LN",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766333458",
            "telephone_number": "972-825-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 APPALOOSA LN",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766333458",
            "telephone_number": "972-825-7449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Greenbriar St",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "765131506",
            "country_code": "US",
            "telephone_number": "972-825-7449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7005 Mira Loma Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787231411",
            "country_code": "US",
            "telephone_number": "512-470-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10047206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q7085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in China Spring, TX

Sources for this page

Verify at the official NPI Registry.