Otto R Garcia Montenegro, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036098564 Issued in IL

Practice address

2004 N Pulaski Rd
Chicago, IL 60639-3767

Phone

(773) 772-8876

Fax

(773) 252-3091

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Medical Center SCGroup PAC ID 0143520049, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: otto.garcia.montenegro.1@7619.direct.athenahealth.com

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.

• Urgent Medical Center SC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1578960282
  Medicare reassignment Care Compare group
• Otto R Garcia Montenegro MD Inc

  • Health Service Clinic/Center
  • Melrose Park, IL
  • NPI 1164603056
  NPD (past) Authorized official
• NP Primary Care S.C.

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1801261458
  NPD

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790773992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876",
            "fax_number": "773-252-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876",
            "fax_number": "773-252-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MONTENEGRO",
        "first_name": "OTTO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098564",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lina Fernanda Garcia Grisales, SA-C
• Khafra Sade Garcia Henry, MBBS
• Dariana Garcia Jimenez
• Garcia Life Partners LTD
• Belsy Janeth Garcia Manrique, MD
• Diego Aldo Garcia Montes de Oca
• Liset Garcia Pena, MD
• Joanna I Garcia Pierce, M.D
• Garcia Radiology PC
• Lizbeth Marie Garcia Rodriguez, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.