Active NPI
Jaime H Montoya, MD
- Diagnostic Radiology Physician
- Greenville, PA
National Provider Identifier
1609840263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD037036L
- Practice address
- 110 N Main St
Greenville, PA 16125-1726 - Phone
- (724) 588-6366
- NPI assigned
- Feb 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD037036L | PA | Primary |
Addresses
Primary practice location
110 N Main St
Greenville, PA 16125-1726
Mailing address
PO Box 73985
Cleveland, OH 44193-0002
Phone (866) 338-6467
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2609430 | Medicaid | OH | |
| 000000368853 | Other | OH | BC BS |
| 1013434960001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Consultants Inc. | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Greenville, PA
- NPI 1841264405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1609840263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73985",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930002",
"telephone_number": "866-338-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N MAIN ST",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161251726",
"telephone_number": "724-588-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "JAIME",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD037036L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2609430",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "000000368853",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013434960001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.