Active NPI
John Monge
- Diagnostic Radiology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2021-00316
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4220 - Phone
- (984) 974-1000
- NPI assigned
- Mar 23, 2016
- Last updated
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | 036168491 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 2021-00316 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Mailing address
5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 256-3576
Other practice location 1
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600
Other practice location 2
1000 N Westmoreland Rd # 35-6150
Lake Forest, IL 60045-1658
Phone (847) 535-6198
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmongemorales702398@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
- Northwestern Memorial Hospital
- Northshore University Healthsystem - Evanston Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Diagnostic Radiology | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
150 Parkway Office Ct
Ste 100
Cary, NC 27518
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
11640 Northpark Dr
Ste 110
Wake Forest, NC 27587
Interoperability endpoints
- jmongemorales702398@direct.unc.nchie.net
Organizations & group practices 4
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
Diagnostic Radiology
-
dba UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba Northwestern Medicine Lake Forest Hospital
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1538521059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 GREENS DAIRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164612",
"telephone_number": "919-256-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-1000"
}
],
"practiceLocations": [
{
"address_1": "836 W Wellington Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575147",
"country_code": "US",
"telephone_number": "773-975-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Westmoreland Rd # 35-6150",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451658",
"country_code": "US",
"telephone_number": "847-535-6198",
"fax_number": "847-535-7838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONGE",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036168491",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2021-00316",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmongemorales702398@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "101 Manning Dr",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275144220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.