Individual provider Active NPI

Kathleen R. Montemayor, M.D.

  • Pediatrics Physician
  • New Port Richey, FL
National Provider Identifier
1649270323
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME37970 Issued in FL
Practice address
6352 River Rd
New Port Richey, FL 34652-2241
Phone
(727) 844-3551
Fax
(727) 847-0427
NPI assigned
Jul 26, 2005
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME37970 FL Primary

Addresses

Primary practice location

6352 River Rd
New Port Richey, FL 34652-2241

Mailing address

6352 River Rd
New Port Richey, FL 34652-2241
Phone (727) 844-3551

Other identifiers 2

IdentifierTypeStateIssuer
067205000MedicaidFL
268389000MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME37970FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics at River's Edge, Inc Pediatrics Past Accepting new patients
Kathleen R. Montemayor, M. D., Faap Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleenmontemayormd@riversedgepediatrics.direct.emds.com

Organizations & group practices 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1649270323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 RIVER RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522241",
            "telephone_number": "727-844-3551",
            "fax_number": "727-847-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 RIVER RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522241",
            "telephone_number": "727-844-3551",
            "fax_number": "727-847-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "KATHLEEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME37970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067205000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268389000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.