NPIMap

Individual provider Active NPI

James Adam Montgomery, M.D.

  • Anesthesiology Physician
  • Lebanon, KY
National Provider Identifier
1497747919
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
29324 Issued in KY
Practice address
320 Loretto Rd
Lebanon, KY 40033-1300
Phone
(270) 692-3161
NPI assigned
Aug 19, 2005
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 29324 KY Primary

Addresses

Primary practice location

320 Loretto Rd
Lebanon, KY 40033-1300

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Other identifiers 1

IdentifierTypeStateIssuer
64293244MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000467 KY Practitioner - Anesthesiology 1759370968 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Anesthesia Group PSCGroup PAC ID 4082527890, 38 clinicians

Practice addresses (Care Compare)

320 Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 692-3161

320 N Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 692-5152

330 N Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 699-4638

420 N Loretto Rd
Suite 600
Lebanon, KY 40033-1634
Phone (270) 692-5139

9 Linville Rd
Paris, KY 40361-2129
Phone (859) 987-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29324KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC CurrentSince Apr 20, 2017 Accepting new patients
Spring View Physician Practices, LLC Anesthesiology Current Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Spring View Physician Practices LLC CurrentSince Jan 1, 2020 Accepting new patients
Spring View Physician Practices, LLC CurrentSince Jan 1, 2020 Accepting new patients
Taylor Regional Medical Group,LLC CurrentSince Apr 20, 2017 Accepting new patients
Bluegrass Anesthesia Services, PSC Anesthesiology Past Accepting new patients

Locations

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

420 N Loretto Rd
Ste 400
Lebanon, KY 40033
Phone (270) 692-5271

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

Interoperability endpoints

  • Direct secure messaging: james.montgomery.1@30070.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1497747919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "270-692-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JAMES",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "29324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64293244",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.