Individual provider Active NPI

John Montini, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1649210683
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD040086E Issued in PA
Practice address
717 Washington Rd
Pittsburgh, PA 15228-2001
Phone
(412) 341-7887
Fax
(412) 341-1479
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-1696803 PA
Internal Medicine Physician 207R00000X MD040086E PA Primary

Addresses

Primary practice location

717 Washington Rd
Pittsburgh, PA 15228-2001

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn Patnesk
Pittsburgh, PA 15243-1873
Phone (412) 924-2548

Other identifiers 2

IdentifierTypeStateIssuer
527622HBNOtherPAMEDICARE
0011843790003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Direct

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
I20120113000567 PA Practitioner - Internal Medicine 4082881073 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-1696803PAMDInternal Medicine Physician
MD040086EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Nov 5, 2011 Accepting new patients
St Clair Medical Services Inc CurrentSince Nov 5, 2011 Accepting new patients

Locations

5301 Grove Rd
Ste 631
Pittsburgh, PA 15236
Phone (412) 942-9105

717 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-7887

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1649210683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN PATNESK",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-924-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282001",
            "telephone_number": "412-341-7887",
            "fax_number": "412-341-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTINI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-1696803",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040086E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "527622HBN",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011843790003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.PAtnesky@stclair.org",
            "address_1": "717 Washington Road",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.