Lino Cueto Montilla, M.D.,F.A.C.O.G.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101052618 Issued in VA

Practice address

3650 Joseph Siewick Dr
Suite 203
Fairfax, VA 22033-1710

Phone

(703) 391-1500

Fax

(703) 860-1549

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1831248731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 OPITZ BLVD",
            "address_2": "SUITE ONE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913306",
            "telephone_number": "703-690-2295",
            "fax_number": "703-690-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR",
            "address_2": "SUITE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331710",
            "telephone_number": "703-391-1500",
            "fax_number": "703-860-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILLA",
        "first_name": "LINO",
        "middle_name": "CUETO",
        "credential": "M.D.,F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101052618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M Montague, FNP
• Sanford Montalto, D.D.S.
• Alicia Montgomery, DVM
• Joyce L Montgomery, LCSW
• Richard A. Monti Jr., M.D.
• Monument-Fairfax, LLC
• Monument-Fairfax, LLC
• Mohammad Moien Monzavi, DDS
• Madisen Brooke Moody, LPC
• Hailey Nicole Mook, PHARMD

• Obstetrics & Gynecology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.