Individual provider Active NPI

Kimberly Sue Montileaux, DPM

  • Primary Podiatric Medicine Podiatrist
  • Kyle, SD
National Provider Identifier
1508831389
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
151 Issued in SD
Practice address
1 Clinic Dr
Kyle, SD 57752
Phone
(605) 455-8211
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosebud Indian Health Service 76 clinicians

Practice addresses (Care Compare)

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

  • PHS Indian Hospital at Rosebud Hospital, Rosebud, SD, CCN 430084

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000552 TX Practitioner - Podiatry 9133190770 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151SDMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 1, 2001 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 30, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 30, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 151 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Clinic Dr
Kyle, SD 57752

Mailing address

PO Box 540
Kyle, SD 57752-0540
Phone (605) 455-8211

Other names 1

NPPES NPI Registry
  • Dr. Kimberly Sue Chandler Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2012.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1508831389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520540",
            "telephone_number": "605-455-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLINIC DR",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "57752",
            "telephone_number": "605-455-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILEAUX",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "SD",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CHANDLER",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kyle, SD

Sources for this page

Verify at the official NPI Registry.