Raul Montalvo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A64247 Issued in CA

Practice address

1541 Florida Ave Ste 200
Modesto, CA 95350-4438

Phone

(209) 577-3388

Fax

(209) 575-3085

NPI assigned

Jul 21, 2005

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shane Speirs MD PCGroup PAC ID 1355875741, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency, Salida, CA, CCN 057695
• Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

64.37

Promoting interoperability

100

Improvement activities

40

Cost

72.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: raul.montalvo.1@24378.direct.athenahealth.com

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.

• Shane Speirs MD PC

  dba HealthyU Clinics

  • Multi-Specialty Clinic/Center
  • Rancho Mirage, CA
  • NPI 1750129672
  Medicare reassignment Care Compare group NPD
• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  NPD
• First Choice Physician Partners

  dba Ventana Health and Medical Center

  • Internal Medicine Physician
  • Pismo Beach, CA
  • NPI 1215376496
  NPD
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)
• First Choice Physician Partners

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1912264862

  Family Medicine

  NPD (past)
• Providence Family Practice Medical Group

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1104979582
  NPD (past)
• Sutter Valley Hospitals

  dba Memorial Medical Center

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Careone Home Health and Hospice, Inc.

  • Home Health Agency
  • Salida, CA
  • NPI 1972809838
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  dba Sutter Care at Home

  • Home Health Agency
  • Salida, CA
  • NPI 1972876506
  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1518967488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388",
            "fax_number": "209-575-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388",
            "fax_number": "209-575-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eletra Veronica Monna, ACSW
• Jennifer Monnich-Smith, LCSW
• Lesly Monroy-Ramos
• Zujey Monroy
• Colleen Montague, MFTI
• Angie Montanez Salgado
• Abraham Isaac Montano, MD
• Nicolas Montano
• Tiffany Montano
• Carley Michelle Montello

• Family Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.

Verify at the official NPI Registry.