Individual provider Active NPI

Anthony J Monteverdi, MD

  • Psychiatry Physician
  • Bend, OR
National Provider Identifier
1811997018
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD26139 Issued in OR
Practice address
1345 NW Wall St
Suite 200
Bend, OR 97701-1972
Phone
(541) 382-1395
Fax
(541) 382-6576
NPI assigned
Jul 28, 2005
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD26139 OR Primary

Addresses

Primary practice location

1345 NW Wall St
Suite 200
Bend, OR 97701-1972

Mailing address

1345 NW Wall St
Suite 200
Bend, OR 97701-1972
Phone (541) 382-1395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20051205000400 OR Practitioner - Psychiatry 9032139167 Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1569 SW Nancy Way
Suite 2
Bend, OR 97702-3234
Phone (541) 382-1395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26139ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Lang Smith Psychiatry LLC PastSince Oct 6, 2024 Accepting new patients
Oregon Psych NP, LLC PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1811997018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011972",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011972",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEVERDI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD26139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.