Individual provider Active NPI

Jorge I. Montalvan, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1679554596
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA5033700 Issued in NJ
Practice address
3848 Fau Blvd
Suite # 210
Boca Raton, FL 33431-6437
Phone
(561) 394-3088
Fax
(561) 394-3077
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA5033700 NJ Primary
Internal Medicine Physician 207R00000X ME106556 FL
Internal Medicine Physician 207R00000X 175179 NY
Internal Medicine Physician 207R00000X 2010-00655 NC

Addresses

Primary practice location

3848 Fau Blvd
Suite # 210
Boca Raton, FL 33431-6437

Mailing address

3848 Fau Blvd
210
Boca Raton, FL 33431-6437
Phone (561) 394-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101209000163 FL Practitioner - Internal Medicine 2668417486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B Hevert MD PAGroup PAC ID 4486603834, 8 clinicians

Practice addresses (Care Compare)

3848 Fau Blvd
Suite 210
Boca Raton, FL 33431-6437
Phone (561) 394-3088

Hospital & facility affiliations

  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00655NCMDInternal Medicine Physician
25MA5033700NJMDInternal Medicine Physician
175179NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David B Hevert MD LLC Internal Medicine CurrentSince Jul 19, 2010 Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Oct 27, 2021 Accepting new patients
Evergreen Physicians of North Jersey, PC Internal Medicine PastSince Dec 8, 2006 Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

3848 Fau Blvd
Ste 210
Boca Raton, FL 33431
Phone (561) 394-3088

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1679554596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD",
            "address_2": "210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-394-3088",
            "fax_number": "561-394-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD",
            "address_2": "SUITE # 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-394-3088",
            "fax_number": "561-394-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVAN",
        "first_name": "JORGE",
        "middle_name": "I.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA5033700",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106556",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175179",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.