Individual provider Active NPI

Robert Montero, MD

  • Pediatrics Physician
  • Duluth, GA
National Provider Identifier
1508997362
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
66149 Issued in GA
Practice address
2270 Duluth Hwy Ste 100
Duluth, GA 30097-4142
Phone
(404) 255-1933
Fax
(678) 382-0775
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 66149 GA Primary

Addresses

Primary practice location

2270 Duluth Hwy Ste 100
Duluth, GA 30097-4142

Mailing address

2270 Duluth Hwy Ste 100
Duluth, GA 30097-4142
Phone (404) 255-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20171201000222 GA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 6608939483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66149GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choa Hospital Based, LLC Pediatrics PastSince Jun 27, 2021 Accepting new patients
Children'S Orthopaedics of Atlanta P.C. PastSince Mar 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmontero62214@choa.gadirect.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1508997362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 DULUTH HWY STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974142",
            "telephone_number": "404-255-1933",
            "fax_number": "678-382-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 DULUTH HWY STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974142",
            "telephone_number": "404-255-1933",
            "fax_number": "678-382-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "66149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "2270 Duluth Hwy Ste 100",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300974142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.