Dan P. Montzka, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

ME68907 Issued in FL

Practice address

2055 Little Rd
Trinity, FL 34655

Phone

(727) 862-3090

Fax

(727) 862-3023

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Ophthalmology

Education

Perelman School of Med at the University of Pennsylvania, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

99

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: dmontzka@rgfla.intellechartdirect.net
• Direct secure messaging: dmontzka@floridaeye.intellechartdirect.net

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.

• Retina Vitreous Consultants

  • Ophthalmology Physician
  • Ft Lauderdale, FL
  • NPI 1699773796
  Medicare reassignment Care Compare group NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725
  Medicare reassignment NPD
• Gulf Coast Retina Specialists PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Pinellas Park, FL
  • NPI 1730305954
  NPD
• St Lukes Cataract & Laser Institute

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1154316628
  NPD (past)
• St Lukes Surgical Center Inc

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1508890476
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1841290293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Eastland Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337614104",
            "country_code": "US",
            "telephone_number": "727-726-1492",
            "fax_number": "727-862-3023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "34655",
            "country_code": "US",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115982",
            "country_code": "US",
            "telephone_number": "813-315-5982",
            "fax_number": "813-654-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTZKA",
        "first_name": "DAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME68907",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME68907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074675000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmontzka@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Minimally Invasive Surgical Specialists
• Lindsay Mischler, PMHNP-BC
• Roberta Ann Mix, D.O.
• Erin Mockler Eaton
• William Cody Montgomery, OT
• Ryan Myles Moran, MD
• Maria Angela Moreno, M.D.
• Rachel Kristen Morin
• Brittany Morris, APRN
• Darren Travis Morris, MD

• Retina Specialist (Ophthalmology) Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.