Active NPI
Joanne Michelle Kakaty-Monzo, DO
- Obstetrics & Gynecology Physician
- Ardmore, PA
National Provider Identifier
1639134570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS012324
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1583457 | Other | PA | BLUE SHIELD |
| 2262292000 | Other | BCBS PA PERCHOICE | |
| 3873485 | Other | AETNA | |
| 2262292000 | Other | BCBS PA KEYSTONEE AMERIHE | |
| 0870850 | Other | CIGNA | |
| 1583457 | Other | BCBS PA HIGHMARK | |
| 067549TGW | Other | MEDICARE PIN | |
| OS012324 | Other | MEDICAL LICENSE | |
| 7631545 | Other | PA | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041129000728 | PA | Practitioner - Obstetrics/Gynecology | 4981669298 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012324 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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. | Past | Accepting new patients | |
| Res Ventures, LLC | Past | Accepting new patients | |
| Main Line Healthcare | Obstetrics & Gynecology | Past | 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.
-
dba Joanne Kakaty-Monzo D.O.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.