NPIMap

Individual provider Active NPI

Michael K Montella, MD

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1881674802
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039391E Issued in PA
Practice address
743 S Main Ave
Scranton, PA 18504-2146
Phone
(570) 969-0693
Fax
(570) 341-8879
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD039391E PA Primary

Addresses

Primary practice location

743 S Main Ave
Scranton, PA 18504-2146

Mailing address

743 S Main Ave
Suite 6
Scranton, PA 18504-2146
Phone (570) 969-9693

Other identifiers 1

IdentifierTypeStateIssuer
001161982MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000392 PA Practitioner - Internal Medicine 4587747076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

743 S Main Ave
Scranton, PA 18504-2146
Phone (570) 969-0693

Hospital & facility affiliations

  • Advanced Home Health Care Specialists Inc Home health agency, Dunmore, PA, CCN 397784
  • Allied Services Home Health Home health agency, Clarks Summit, PA, CCN 397167
  • Associated Family Home Care, Inc. Home health agency, Kingston, PA, CCN 397502
  • Interim Healthcare Services of NE PA, Inc. Home health agency, Blakely, PA, CCN 397477
  • Traditional Home Health Care Home health agency, Dunmore, PA, CCN 397774
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039391EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

743 S Main Ave
Ste 6
Scranton, PA 18504

743 S Main Ave
Scranton, PA 18504
Phone (570) 969-0693

Organizations & group practices 5

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.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1881674802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 S MAIN AVE",
            "address_2": "SUITE 6",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042146",
            "telephone_number": "570-969-9693",
            "fax_number": "570-341-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042146",
            "telephone_number": "570-969-0693",
            "fax_number": "570-341-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELLA",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039391E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001161982",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.