Individual provider Active NPI

John Montoni, D.P.M.

  • Podiatrist
  • Roseville, MI
National Provider Identifier
1528077526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001697 Issued in MI
Practice address
25990 Kelly Rd
Suite 4
Roseville, MI 48066-4483
Phone
(586) 771-3550
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001697 MI Primary

Addresses

Primary practice location

25990 Kelly Rd
Suite 4
Roseville, MI 48066-4483

Mailing address

25990 Kelly Rd
Suite 4
Roseville, MI 48066-4483
Phone (586) 771-3550

Other identifiers 1

IdentifierTypeStateIssuer
3148184MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070116000488 MI Practitioner - Podiatry 5193708899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot and Ankle Center PCGroup PAC ID 8022091727, 2 clinicians

Practice addresses (Care Compare)

25990 Kelly Rd
Suite 4
Roseville, MI 48066-4483
Phone (586) 771-3550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue520
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001697MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot & Ankle Center PC Podiatrist CurrentSince Feb 26, 1998 Accepting new patients

Locations

25990 Kelly Rd
Roseville, MI 48066
Phone (586) 498-4553

25990 Kelly Rd
Ste 4
Roseville, MI 48066
Phone (586) 771-3550

Interoperability endpoints

  • Direct secure messaging: john.montoni@direct.secureehrthomas.com

Organizations & group practices 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528077526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD",
            "address_2": "SUITE 4",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-771-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD",
            "address_2": "SUITE 4",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-771-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTONI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148184",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.