NPIMap

Individual provider Active NPI

Ismael Garcia Montes, MD

  • Emergency Medicine Physician
  • Savannah, GA
National Provider Identifier
1861482523
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
014843 Issued in GA
Practice address
37 Cove Dr
Savannah, GA 31419-9579
Phone
(912) 961-1257
NPI assigned
Oct 25, 2005
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 014843 GA Primary
Emergency Medicine Physician 207P00000X 0101019618 VA
Emergency Medicine Physician 207P00000X MD042932E PA

Addresses

Primary practice location

37 Cove Dr
Savannah, GA 31419-9579

Mailing address

37 Cove Dr
Savannah, GA 31419-9579
Phone (912) 961-1257

Other identifiers 6

IdentifierTypeStateIssuer
000012581OMedicaidGA
000012581NMedicaidGA
P01105616OtherGARAILROAD MEDICARE
000012581PMedicaidGA
000012581QMedicaidGA
P01004099OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014843GAMDEmergency Medicine Physician
MD042932EPAMDEmergency Medicine Physician
0101019618VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Memorial Health Urgentone, Inc. Emergency Medicine Past Accepting new patients
Ismael G Montes MD PC Emergency Medicine Past Accepting new patients
Georgia Emergency Associates Emergency Medicine Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients
Memorial Health Urgentone, Inc. Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1861482523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COVE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199579",
            "telephone_number": "912-961-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COVE DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199579",
            "telephone_number": "912-961-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "ISMAEL",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "014843",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101019618",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD042932E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012581O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012581N",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01105616",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012581P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012581Q",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01004099",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.