Individual provider Active NPI

Edwin M Montell, M.D.

  • Specialist
  • Hilo, HI
National Provider Identifier
1700998432
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD3526 Issued in HI
Practice address
134 Puuhonu Way
Hilo, HI 96720-2067
Phone
(808) 935-1956
Fax
(808) 935-7657
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD3526 HI Primary

Addresses

Primary practice location

134 Puuhonu Way
Hilo, HI 96720-2067

Mailing address

134 Puuhonu Way
Hilo, HI 96720-2067
Phone (808) 935-1956

Other identifiers 3

IdentifierTypeStateIssuer
A4509-4OtherHIHMSA
198056OtherHIHMA
04097401MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD3526HIMDSpecialist

Interoperability endpoints

  • Direct secure messaging: edwin.montell@hawaiihie.medicity.net

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700998432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PUUHONU WAY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202067",
            "telephone_number": "808-935-1956",
            "fax_number": "808-935-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PUUHONU WAY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202067",
            "telephone_number": "808-935-1956",
            "fax_number": "808-935-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELL",
        "first_name": "EDWIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD3526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A4509-4",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "198056",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04097401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.