Active NPI
Charles Brendan Montano, MD
- Internal Medicine Physician
- Cromwell, CT
National Provider Identifier
1487673208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 016871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016871 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montano Wellness LLC | Internal Medicine | Current | Accepting new patients |
Locations
160 West St
Ste 1A
Cromwell, CT 06416
Phone (860) 632-0144
Interoperability endpoints
- https://api.platform.athenahealth.com/18438/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Cromwell, CT
- NPI 1740776954
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.