Active NPI
Paul M Montoya, MD
- Family Medicine Physician
- Starke, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME125680
- Practice address
- 345 W Madison St
Starke, FL 32091-3923 - Phone
- (904) 964-5455
- Fax
- (904) 964-4099
- NPI assigned
- Jul 28, 2006
- Last updated
- Apr 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24166 | NE | |
| Family Medicine Physician | 207Q00000X | ME125680 | FL | Primary |
Addresses
Primary practice location
345 W Madison St
Starke, FL 32091-3923
Mailing address
345 W Madison St
Starke, FL 32091-3923
Phone (904) 964-5455
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015967300 | Medicaid | FL | |
| 10025238700 | Medicaid | NE | |
| 1811901390 | Medicaid | IA | |
| 47068731749 | Medicaid | NE | |
| 33181 | Other | FL | BCBS FLORIDA |
| 50056 | Other | NE | BCBS |
| 47068731734 | Medicaid | NE | |
| 10025464000 | Medicaid | NE | |
| 47068731741 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
345 W Madison St
Starke, FL 32091-3923
Phone (904) 964-5455
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
PO Box
Melrose, FL 32666-1099
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME125680 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| Starke Family Medical Center Inc | Family Medicine | Current | Accepting new patients |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| Geoffrey C. Basler, M.D. P.C. | Past | Accepting new patients |
Locations
320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663
839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707
175 N Lawrence Blvd
Keystone Heights, FL 32656
Phone (352) 473-3199
100 S Lawrence Blvd
Keystone Hgts, FL 32656
Phone (352) 473-9373
155 SE 6th Pl
Lake Butler, FL 32054
Phone (386) 438-8391
345 W Madison St
Starke, FL 32091
Phone (904) 964-5455
Interoperability endpoints
- paul.montoya.1@16275.direct.athenahealth.com
- pmontoya28315@elrio.direct.ci.com
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.
-
dba immediate care center of starke
- Family Medicine Physician
- Starke, FL
- NPI 1487727038
-
dba El Rio Community Health Center
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
dba University Health Center
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1598457525
-
dba Complete Family Dermatology
- Dermatology Physician
- Lincoln, NE
- NPI 1538348610
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Home Health Care of Marion County
- Home Health Agency
- Ocala, FL
- NPI 1528730967
-
dba Legacy Home Health Care of Putnam County
- Home Health Agency
- Palatka, FL
- NPI 1568234433
-
- Home Health Agency
- Starke, FL
- NPI 1871152272
-
dba HCA Florida North Florida Hospital
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1811901390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W MADISON ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320913923",
"telephone_number": "904-964-5455",
"fax_number": "904-964-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W MADISON ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320913923",
"telephone_number": "904-964-5455",
"fax_number": "904-964-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "24166",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME125680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015967300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025238700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811901390",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731749",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FLORIDA",
"identifier": "33181",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50056",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731734",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025464000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731741",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Starke, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.