NPIMap

Organization Active NPI

Roberto Montoya M.D., P.a.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1467781328
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
E4905 Issued in TX
Legal business name
ROBERTO MONTOYA M.D., P.A.
Practice address
1810 Nantucket Dr
Houston, TX 77057-2912
Phone
(713) 907-4456
Fax
(281) 833-3323
NPI assigned
Dec 23, 2009
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Roberto Montoya, MDNPI 1174517254
Title
Physician
Phone
(713) 907-4456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X E4905 TX Primary

Addresses

Primary practice location

1810 Nantucket Dr
Houston, TX 77057-2912

Mailing address

PO Box 128
Bellaire, TX 77402-0128
Phone (713) 907-4456

Other identifiers 4

IdentifierTypeStateIssuer
00AB79OtherTXBLUE CROSS BLUE SHIELD
10043543OtherTXAMERIGROUP
401073OtherTXAETNA
031816401MedicaidTX

National Provider Directory

National Provider Directory

Locations

1631 North Loop W
Ste 625
Houston, TX 77008
Phone (713) 869-5013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1467781328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "713-907-4456",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NANTUCKET DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572912",
            "telephone_number": "713-907-4456",
            "fax_number": "281-833-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO MONTOYA M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-907-4456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "E4905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00AB79",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10043543",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "401073",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031816401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.