Individual provider Active NPI

Alejandro Javier Montoya, MD

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1740719749
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020021852 Issued in MO
Practice address
5400 N Oak Trfy Ste 200
Kansas City, MO 64118-4690
Phone
(816) 453-0900
Fax
(816) 453-3895
NPI assigned
Jun 5, 2017
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020021852 MO Primary

Addresses

Primary practice location

5400 N Oak Trfy Ste 200
Kansas City, MO 64118-4690

Mailing address

5400 N Oak Trfy Ste 200
Kansas City, MO 64118-4690
Phone (816) 453-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200717003112 MO Practitioner - Family Practice 3375813215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2000 NE Vivion Rd
Suite 100
Kansas City, MO 64118-6100
Phone (816) 453-1314

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Meritashealth Corporation Family Medicine Current Accepting new patients
Meritas Health Corporation CurrentSince Aug 1, 2020 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

Locations

2000 NE Vivion Rd
Ste 100
Kansas City, MO 64118
Phone (816) 453-1314

5400 N Oak Trfy
Ste 200
Kansas City, MO 64118
Phone (816) 453-0900

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1740719749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N OAK TRFY STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184690",
            "telephone_number": "816-453-0900",
            "fax_number": "816-453-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N OAK TRFY STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184690",
            "telephone_number": "816-453-0900",
            "fax_number": "816-453-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ALEJANDRO",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020021852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.