NPIMap

Individual provider Active NPI

Monty Stephen Ledbetter, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1689657009
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
154812 Issued in MA
Practice address
1153 Centre St
Radiology Faulkner Hospital
Boston, MA 02130-3446
Phone
(617) 732-8098
Fax
(617) 525-7333
NPI assigned
Nov 21, 2005
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 154812 MA Primary

Addresses

Primary practice location

1153 Centre St
Radiology Faulkner Hospital
Boston, MA 02130-3446

Mailing address

1153 Centre St
Radiology Faulkner Hospital
Boston, MA 02130-3446
Phone (617) 732-8098

Other identifiers 3

IdentifierTypeStateIssuer
J19662OtherMABLUE CROSS BLUE SHIELD
154812OtherMATUFTS HEALTH CARE
3188221MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050610000476 MA Practitioner - Diagnostic Radiology 4183668106 Reassigns benefits to 6 organizations
I20230711003668 NH Practitioner - Diagnostic Radiology 4183668106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooley Dickinson Hospital IncGroup PAC ID 8123090560, 32 clinicians

Practice addresses (Care Compare)

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

12 College Hwy
Southampton, MA 01073-9406
Phone (413) 527-1105

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

67 Corporate Dr
Portsmouth, NH 03801-2847

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154812MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince May 29, 2023 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Nov 21, 2018 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 5, 2020 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Oct 10, 2018 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Brigham and Women's Faulkner Hospital Inc Current Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Nov 21, 2018 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 26, 2021 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 26, 2021 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: ledbetter.m.fh@direct.partners.masshiway.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1689657009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "RADIOLOGY FAULKNER HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-732-8098",
            "fax_number": "617-525-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "RADIOLOGY FAULKNER HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-732-8098",
            "fax_number": "617-525-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "MONTY",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "154812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J19662",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "154812",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3188221",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.