Individual provider Active NPI

Leland Thomas Montierth, DO

  • Internal Medicine Physician
  • Bluffton, SC
National Provider Identifier
1467911222
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
97264 Issued in SC
Practice address
10 Oak Forest Rd Ste C
Bluffton, SC 29910-4974
Phone
(843) 815-3006
Fax
(843) 815-3737
NPI assigned
Mar 19, 2019
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 97264 SC Primary
Internal Medicine Physician 207R00000X 5101025803 MI
General Practice Physician 208D00000X 5101025803 MI

Addresses

Primary practice location

10 Oak Forest Rd Ste C
Bluffton, SC 29910-4974

Mailing address

10 Oak Forest Rd Ste C
Suite C
Bluffton, SC 29910-4974
Phone (843) 815-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210506002293 MI Order and Referring Only - General PracticePractitioner - General Practice 1254740020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025803MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1467911222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK FOREST RD STE C",
            "address_2": "SUITE C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104974",
            "telephone_number": "843-815-3006",
            "fax_number": "843-815-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK FOREST RD STE C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104974",
            "telephone_number": "843-815-3006",
            "fax_number": "843-815-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "LELAND",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "97264",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101025803",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101025803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.