Individual provider Active NPI

Jorge X. Montilla, M.D.

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1457629586
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME136850 Issued in FL
Practice address
11760 SW 40TH St Ste 416
Miami, FL 33175-3598
Phone
(786) 652-0023
Fax
(786) 625-4933
NPI assigned
Dec 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA09001900 NJ
Cardiovascular Disease Physician 207RC0000X 64538-20 WI
Interventional Cardiology Physician 207RI0011X ME136850 FL Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X ME136850 FL

Addresses

Primary practice location

11760 SW 40TH St Ste 416
Miami, FL 33175-3598

Mailing address

6700 SW 122ND Dr
Pinecrest, FL 33156-5459
Phone (786) 652-0023

Other identifiers 3

IdentifierTypeStateIssuer
100053637MedicaidWI
100239700MedicaidFL
128227000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190402000752 FL Practitioner - Cardiovascular Disease (Cardiology) 2769777226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Ami Kendall Inc.Group PAC ID 7719972876, 6 clinicians

Practice addresses (Care Compare)

Pinecrest, FL 33156
Phone (786) 556-0046

11750 Bird Rd
Suite 306
Miami, FL 33175-3530
Phone (954) 967-0107

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Roy Lester Schneider Hospital,the Hospital, St Thomas, VI, CCN 480001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09001900NJMDCardiovascular Disease Physician
ME136850FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Ami Kendall Inc Multi-Specialty CurrentSince Jan 29, 2024 Accepting new patients
Mmholdings74, Inc Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients

Locations

11760 SW 40th St
Ste 416
Miami, FL 33175
Phone (305) 228-4422

11750 Bird Rd
#306
Miami, FL 33175
Phone (954) 967-0107

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

7100 Pines Blvd
Ste 19
Pembroke Pines, FL 33024

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHJDD/Endpoint/EIHJDD

Organizations & group practices 2

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 6

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": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1457629586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 SW 122ND DR",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565459",
            "telephone_number": "786-652-0023",
            "fax_number": "786-625-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 416",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753598",
            "telephone_number": "786-652-0023",
            "fax_number": "786-625-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILLA",
        "first_name": "JORGE",
        "middle_name": "X.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09001900",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "64538-20",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME136850",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME136850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100053637",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128227000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.