Eduardo Daniel Montemayor, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA08135 Issued in TX

Practice address

5540 Saratoga Blvd Ste 200
Corpus Christi, TX 78413-2953

Phone

(361) 993-8510

NPI assigned

Jan 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

78.84 of 100Reported as group

Quality

100

Improvement activities

40

Cost

11.7

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: emontemayor@southtexasretina.emadirect.md

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.

• Corpus Christi Pain Medicine, P.a.

  • Pain Medicine Physician
  • Corpus Christi, TX
  • NPI 1508978099
  Medicare reassignment
• South Texas Retina Consultants, LLP

  • Retina Specialist (Ophthalmology) Physician
  • Corpus Christi, TX
  • NPI 1548217433
  Medicare reassignment

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1710224993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 ENNIS JOSLIN RD APT 510",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124376",
            "telephone_number": "956-642-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 SARATOGA BLVD STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132953",
            "telephone_number": "361-993-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "EDUARDO",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08135",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Montelongo, L.P.C.
• Gina Montelongo
• Mary Ruth Montelongo
• Melissa Montemayor Trejo, RD
• Ludivina Montemayor-Allred, PHD, LPC
• Sophia Marie Montemayor, MS, LPC
• Ildamaris Mercedes Montes de Oca Gonzalez
• Demetria Liane Montes
• Anthony Paul Montez, MS, LPC
• Laura Ann Montez

• Medical Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.