Individual provider Active NPI

Paul M Montoya, MD

  • Family Medicine Physician
  • Starke, FL
National Provider Identifier
1811901390
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125680 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
015967300MedicaidFL
10025238700MedicaidNE
1811901390MedicaidIA
47068731749MedicaidNE
33181OtherFLBCBS FLORIDA
50056OtherNEBCBS
47068731734MedicaidNE
10025464000MedicaidNE
47068731741MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160224000657 FL Practitioner - Family Practice 7315048667 Reassigns benefits to 1 organization
I20230308003018 AZ Practitioner - Family Practice 7315048667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Starke Family Medical Center IncGroup PAC ID 0143207704, 13 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125680FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Feb 27, 2023 Accepting new patients
Starke Family Medical Center Inc Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Feb 27, 2023 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

  • Direct secure messaging: paul.montoya.1@16275.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.