Individual provider Active NPI

Michael Carroll Momont, M.D.

  • Orthopaedic Surgery Physician
  • Duluth, MN
National Provider Identifier
1417952912
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
39160 Issued in MN
Practice address
1000 E 1St St
Ste 400
Duluth, MN 55805-2297
Phone
(218) 722-5513
Fax
(218) 722-6515
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39160 MN
Orthopaedic Surgery Physician 207X00000X 39160 MN Primary

Addresses

Primary practice location

1000 E 1St St
Ste 400
Duluth, MN 55805-2297

Mailing address

1000 E 1St St
Ste 400
Duluth, MN 55805-2297
Phone (218) 722-5513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20040311000155 WI Practitioner - Orthopedic Surgery 2668365784 Reassigns benefits to 1 organization
I20100105000808 MN Practitioner - Orthopedic Surgery 2668365784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of Duluth PAGroup PAC ID 1951294065, 37 clinicians
Polinsky Medical Rehabilitation CenterGroup PAC ID 0941377360, 369 clinicians

Practice addresses (Care Compare)

1000 E 1St St
Suite 404
Duluth, MN 55805-2297
Phone (218) 722-5513

11128 N State Hwy 27 and 77
North Lakes Community Clinic
Hayward, WI 54843
Phone (715) 634-2541

1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39160MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Duluth, P.a. Specialist CurrentSince Aug 1, 2000 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

1000 E 1st St
Duluth, MN 55805
Phone (218) 249-4700

1000 E 1st St
Ste 404
Duluth, MN 55805
Phone (218) 722-5513

1000 E 1st St
Ste 400
Duluth, MN 55805
Phone (218) 625-2728

204 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2250

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.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1417952912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5513",
            "fax_number": "218-722-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5513",
            "fax_number": "218-722-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMONT",
        "first_name": "MICHAEL",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "39160",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "39160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.