Individual provider Active NPI

Sandhya Thomas-Montilus, MD

  • Internal Medicine Physician
  • Lumberton, NC
National Provider Identifier
1720047194
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9701618 Issued in NC
Practice address
4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706
Phone
(910) 738-2330
Fax
(910) 738-1403
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9701618 NC Primary

Addresses

Primary practice location

4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706

Mailing address

4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706
Phone (910) 738-2330

Other identifiers 2

IdentifierTypeStateIssuer
89-0226CMedicaidNC
2244541OtherMEDICARE PTAN INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110408000196 NC Practitioner - Internal MedicinePractitioner - Pain Management 8921186560 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701618NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Family Medicine Downtown CurrentSince Sep 9, 2018 Accepting new patients
Mountcastle Medical & Med Spa PLLC CurrentSince Jul 5, 2021 Accepting new patients
Robeson Medical Clinic Internal Medicine Current Accepting new patients
Pelican Family Medicine, P.a. CurrentSince Sep 9, 2018 Accepting new patients
Pelican Family Medicine, P.a. Current Accepting new patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Jan 6, 2014 Accepting new patients

Locations

1840 Owen Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 223-7246

701 S Main St
Lillington, NC 27546
Phone (910) 514-1152

7780 Brier Creek Pkwy
Raleigh, NC 27617

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

5905 Carolina Beach Rd
Ste 8
Wilmington, NC 28412
Phone (404) 632-6409

5429 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 332-5074

Interoperability endpoints

  • Direct secure messaging: sthomas-montilus@iwp-nc.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/24052/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1720047194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 FAYETTEVILLE RD",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582706",
            "telephone_number": "910-738-2330",
            "fax_number": "910-738-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FAYETTEVILLE RD",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582706",
            "telephone_number": "910-738-2330",
            "fax_number": "910-738-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-MONTILUS",
        "first_name": "SANDHYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0226C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "2244541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.