Individual provider Active NPI

Rosa Maria Montes, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1659389807
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4192 Issued in TX
Practice address
2829 Babcock Rd Ste 636
San Antonio, TX 78229-6014
Phone
(210) 615-8460
Fax
(210) 615-0406
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4192 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 636
San Antonio, TX 78229-6014

Mailing address

2829 Babcock Rd Ste 636
San Antonio, TX 78229-6014
Phone (210) 615-8460

Other identifiers 2

IdentifierTypeStateIssuer
275944ZN97OtherTXPTAN#
173951805MedicaidTX

Other names 1

  • Rosa Guevara Montes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040317001086 TX Practitioner - Family Practice 4880584465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4192TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ana T Sauceda MD PLLC CurrentSince Dec 18, 2015 Accepting new patients

Locations

2829 Babcock Rd
Ste 629
San Antonio, TX 78229
Phone (210) 615-8460

2829 Babcock Rd
Ste 636
San Antonio, TX 78229
Phone (210) 615-8460

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1659389807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296014",
            "telephone_number": "210-615-8460",
            "fax_number": "210-615-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296014",
            "telephone_number": "210-615-8460",
            "fax_number": "210-615-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN#",
            "identifier": "275944ZN97",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173951805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "MONTES",
            "middle_name": "GUEVARA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.