Leonardo Montemurro Sr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40212 Issued in WI

Practice address

6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931

Phone

(262) 945-7557

Fax

(262) 727-0841

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Family Practice

Education

Medical College of Wisconsin, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advantage Physical Therapy and Sports Rehab, LLC 289 clinicians

Fort Healthcare Inc 159 clinicians

Zenith Healthcare SC 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aurora at Home Home health agency, Milwaukee, WI, CCN 527001
• Hospice Alliance Hospice, Pleasant Prairie, WI, CCN 521502
• Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
• Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
• Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
• Complete Care at Grande Prairie Nursing home, Pleasant Prairie, WI, CCN 525659

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
• Direct secure messaging: leonardo.montemurro@direct.forthc.com
• Direct secure messaging: lmontemurro348300@direct.froedtert.com

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.

• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Family Medicine, WI

  Medicare reassignment Care Compare group NPD
• Zenith Healthcare SC

  • Cardiovascular Disease Physician
  • Kenosha, WI
  • NPI 1043610280

  WI

  Medicare reassignment Care Compare group NPD
• Fort Healthcare Inc

  • Rural Health Clinic/Center
  • Fort Atkinson, WI
  • NPI 1417450115

  Family Medicine

  Care Compare group NPD
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281
  Care Compare group NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Cudahy, WI
  • NPI 1194396002
  Care Compare group
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Spooner, WI
  • NPI 1215687314
  Care Compare group
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  Care Compare group
• James M. Bury, MD, LTD.

  • Family Medicine Physician
  • Salem, WI
  • NPI 1053507624

  Family Medicine

  NPD
• Phoenixc Healthcare, SC

  • Clinical Cardiac Electrophysiology Physician
  • Kenosha, WI
  • NPI 1821591710
  NPD

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

• Aurora Health Care Southern Lakes, Inc.

  • General Acute Care Hospital
  • Kenosha, WI
  • NPI 1225156888

  Hospital

  Care Compare affiliation
• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Hospital

  Care Compare affiliation
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281

  Hospital

  Care Compare affiliation
• Froedtert South, Inc.

  • General Acute Care Hospital
  • Pleasant Prairie, WI
  • NPI 1003831132

  Hospital

  Care Compare affiliation
• Grande Prairie Care and Rehab Center LLC

  • Skilled Nursing Facility
  • Pleasant Prairie, WI
  • NPI 1912643834

  Nursing home

  Care Compare affiliation
• Hospice Alliance, Inc.

  • Community Based Hospice Care Agency
  • Pleasant Prairie, WI
  • NPI 1053314252

  Hospice

  Care Compare affiliation
• Visiting Nurse Association of Wisconsin, Inc.

  • Home Health Agency
  • West Allis, WI
  • NPI 1134255037
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1689620072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422931",
            "telephone_number": "262-945-7557",
            "fax_number": "262-727-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422931",
            "telephone_number": "262-945-7557",
            "fax_number": "262-727-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMURRO",
        "first_name": "LEONARDO",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32501700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390007566",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modern Apothecary, LLC
• Modern Family Dentists LLC
• Kerah Mae Modesti, LPC-IT
• Manar Mohammad
• Cody L Moldenhauer, DPT
• Moore & Associates, Inc.
• Alejandra Moore, APNP
• Carrie Renae Moore, SAC-IT
• Hazel E Moore, DDS
• Kelan A Moore, M.D.

• All providers in Kenosha, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.