Individual provider Active NPI

Joshua Montgomery, PA-C

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1659083467
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009392 Issued in MD
Practice address
10750 Columbia Pike Ste 501
Silver Spring, MD 20901-4460
Phone
(301) 593-9035
Fax
(301) 593-9035
NPI assigned
Dec 23, 2022
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009392 MD Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 501
Silver Spring, MD 20901-4460

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230415000077 DC Practitioner - Physician Assistant 0547635047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

106 Irving St NW
Suite 4100
Washington, DC 20010-2971
Phone (202) 726-0941

10750 Columbia Pike
Suite 501
Silver Spring, MD 20901-4460
Phone (301) 593-9035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Physician Assistant CurrentSince May 13, 2024 Accepting new patients

Locations

106 Irving St NW
Ste 4100
Washington, DC 20010
Phone (202) 726-0941

10750 Columbia Pike
Ste 501
Silver Spring, MD 20901
Phone (301) 593-9035

Interoperability endpoints

  • Direct secure messaging: jmontgomery39867@gwmfa.direct-ci.com
  • Direct secure messaging: joshua.montgomery.1@23535.direct.athenahealth.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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1659083467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 501",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014460",
            "telephone_number": "301-593-9035",
            "fax_number": "301-593-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.