Individual provider Active NPI

Andres Ismael Montes, M.D.

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1871927277
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
89593 Issued in GA
Practice address
5354 Reynolds St Ste 422
Savannah, GA 31405-6011
Phone
(912) 355-5593
Fax
(912) 355-5404
NPI assigned
Aug 21, 2013
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 89593 GA Primary

Addresses

Primary practice location

5354 Reynolds St Ste 422
Savannah, GA 31405-6011

Mailing address

St.Joe Candler- Managed Care Dept
836 E. 65TH St., BLDG 22
Savannah, GA 31405
Phone (912) 819-2622

Other practice location 1

1215 Lee St
Box 800793
Charlottesville, VA 22908-0816
Phone (434) 924-1955

Other identifiers 1

IdentifierTypeStateIssuer
89593OtherGAGEORGIA STATE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210728002810 GA Practitioner - Obstetrics/Gynecology 3375813116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's/Candler OB/GYN Practice, LLCGroup PAC ID 4385909936, 22 clinicians

Practice addresses (Care Compare)

5354 Reynolds St
Suite 422
Savannah, GA 31405-6011
Phone (912) 355-5593

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89593GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's/Candler OB/GYN Practice, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2021 Accepting new patients
Savannah Rheumatology Associates, PC Past Accepting new patients
Candler Hospital Incorporated Past Accepting new patients
Karen L Fehr Dalessandromdpc Past Accepting new patients

Locations

5353 Reynolds St
Ste 201
Savannah, GA 31405
Phone (912) 352-7293

5354 Reynolds St
Ste 214
Savannah, GA 31405
Phone (912) 354-2634

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

Interoperability endpoints

  • Direct secure messaging: andres.montes@sjcobgyn.eclinicaldirectplus.com
  • Direct secure messaging: drmontesa@direct.sjchs.org

Organizations & group practices 4

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 1

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1871927277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST.JOE CANDLER- MANAGED CARE DEPT",
            "address_2": "836 E. 65TH ST., BLDG 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-2622",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 422",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056011",
            "telephone_number": "912-355-5593",
            "fax_number": "912-355-5404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "Box 800793",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-1955",
            "fax_number": "434-982-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTES",
        "first_name": "ANDRES",
        "middle_name": "ISMAEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "89593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE BOARD",
            "identifier": "89593",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.