Individual provider Active NPI

Joanne Michelle Kakaty-Monzo, DO

  • Obstetrics & Gynecology Physician
  • Ardmore, PA
National Provider Identifier
1639134570
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS012324 Issued in PA
Practice address
39 Rittenhouse PL
Ardmore, PA 19003-2209
Phone
(610) 420-1615
Fax
(610) 642-1607
NPI assigned
Apr 20, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS012324 PA Primary

Addresses

Primary practice location

39 Rittenhouse PL
Ardmore, PA 19003-2209

Mailing address

2250 Old Sentinel TRL
Malvern, PA 19355-7500
Phone (610) 420-1615

Other identifiers 9

IdentifierTypeStateIssuer
1583457OtherPABLUE SHIELD
2262292000OtherBCBS PA PERCHOICE
3873485OtherAETNA
2262292000OtherBCBS PA KEYSTONEE AMERIHE
0870850OtherCIGNA
1583457OtherBCBS PA HIGHMARK
067549TGWOtherMEDICARE PIN
OS012324OtherMEDICAL LICENSE
7631545OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041129000728 PA Practitioner - Obstetrics/Gynecology 4981669298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012324PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Healthcare Group of Pennsylvania Obstetrics & Gynecology Past Accepting new patients
Obstetrics & Gynecology Fund Obstetrics & Gynecology Past Accepting new patients
Richard P. Glunk, M.D., L.L.C. PastSince Mar 1, 2013 Accepting new patients
Res Ventures, LLC Past Accepting new patients
Main Line Healthcare Obstetrics & Gynecology PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1639134570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 OLD SENTINEL TRL",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193557500",
            "telephone_number": "610-420-1615",
            "fax_number": "610-642-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 RITTENHOUSE PL",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032209",
            "telephone_number": "610-420-1615",
            "fax_number": "610-642-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKATY-MONZO",
        "first_name": "JOANNE",
        "middle_name": "MICHELLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS012324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1583457",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PA PERCHOICE",
            "identifier": "2262292000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3873485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PA KEYSTONEE AMERIHE",
            "identifier": "2262292000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0870850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PA HIGHMARK",
            "identifier": "1583457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "067549TGW",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS012324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7631545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.