Active NPI
Kimberly Sue Montileaux, DPM
- Primary Podiatric Medicine Podiatrist
- Kyle, SD
National Provider Identifier
1508831389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 151
- 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.
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.52 of 100
- Quality
- 68.64
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 86.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805000552 | TX | Practitioner - Podiatry | 9133190770 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151 | SD | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 151 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- Kyle IHS Clinic Pharmacy
- Aundrea Lavoy, RN
- Ronald Edwin Livermont, MD
- James Edward McConkey, PHARMD
- Angel N Mills, LPC
- Frances Morgan, RN
- Jessica Ann Nelson, DNP, DNP
- Oglala Lakota College- Head Start/ Early Head Start Program
- Beth Marie Perkins, REGISTERED NURSE-PHN
- Pine Ridge Indian Health Service Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.