Individual provider Active NPI

Charles Brendan Montano, MD

  • Internal Medicine Physician
  • Cromwell, CT
National Provider Identifier
1487673208
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016871 Issued in CT
Practice address
160 West St
Building 1 Suite a
Cromwell, CT 06416-2441
Phone
(860) 632-0144
Fax
(860) 632-7882
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016871 CT Primary

Addresses

Primary practice location

160 West St
Building 1 Suite a
Cromwell, CT 06416-2441

Mailing address

160 West St
Building 1 Suite a
Cromwell, CT 06416-2441
Phone (860) 632-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090504000426 CT Practitioner - Internal Medicine 4981752805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 W St
Suite 1a
Cromwell, CT 06416-2441
Phone (860) 632-0144

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016871CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montano Wellness LLC Internal Medicine CurrentSince Apr 12, 2018 Accepting new patients

Locations

160 West St
Ste 1A
Cromwell, CT 06416
Phone (860) 632-0144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18438/brand/1/csg/1/fhir/r4
  • Direct secure messaging: charles.montano.1@18438.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1487673208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "address_2": "BUILDING 1 SUITE A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-632-0144",
            "fax_number": "860-632-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "address_2": "BUILDING 1 SUITE A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-632-0144",
            "fax_number": "860-632-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "CHARLES",
        "middle_name": "BRENDAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.