Active NPI
Katherine Null Montgomery, M.D.
- General Practice Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD.28003
- Practice address
- 2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551 - Phone
- (256) 539-0457
- Fax
- (256) 539-5827
- NPI assigned
- Mar 19, 2007
- Last updated
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 28003 | AL | |
| General Practice Physician | 208D00000X | MD.28003 | AL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 28003 | AL |
Addresses
Primary practice location
2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Mailing address
2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone (256) 539-0457
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51005348 | Other | AL | BCBS |
| 009910520 | Medicaid | AL | |
| 51067223 | Other | AL | BCBS |
| 51595542 | Other | AL | BCBS |
| 51595543 | Other | AL | BCBS |
| 51595544 | Other | AL | BCBS |
| 51595545 | Other | AL | BCBS |
| 051558877 | Medicaid | AL | |
| 51595541 | Other | AL | BCBS |
| 009910373 | Medicaid | AL | |
| 009911018 | Medicaid | AL | |
| 009910447 | Medicaid | AL | |
| 009910521 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1344 S Apollo Blvd
Melbourne, FL 32901-3180
1344 S Apollo Blvd
Melbourne, FL 32901-3185
2608 Elderdale Dr SE
Owens Cross Roads, AL 35763-8426
Phone (855) 672-3888
6100 Minton Rd NW
Palm Bay, FL 32907-1900
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.43 of 100
- Quality
- 65.59
- Improvement activities
- 40
- Cost
- 64.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28003 | AL | MD | Diagnostic Radiology Physician |
| MD.28003 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Radiology LLC | Current | Accepting new patients | |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Omni Healthcare, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Clermont Radiology LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostic Institute Winter Park PLLC | Current | Accepting new patients | |
| Premier Open MRI, Inc. | Pediatric Radiology | Current | Accepting new patients |
| American Family Care, LLC | General Practice | Current | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Omni Healthcare, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Clearview Diagnostic Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology of Hunstville PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
410 Sutton Rd SE
Owens Cross Roads, AL 35763
Phone (256) 424-4260
605 Crescent Executive Ct
Ste 124
Lake Mary, FL 32746
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
5787 Vineland Rd
Ste 101
Orlando, FL 32819
5201 Babcock St NE
Ste 5
Palm Bay, FL 32905
Phone (321) 676-5323
111 N Lakemont Ave
Ste 1A
Winter Park, FL 32792
111 N Lakemont Ave
Ste 2E
Winter Park, FL 32792
Phone (407) 628-5838
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 14
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.
-
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1417917253
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
dba Clermont Radiology-Kings Ridge
- Radiology Clinic/Center
- Clermont, FL
- NPI 1003328642
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1033426622
-
dba Clermont Radiology - Ocala
- Radiology Clinic/Center
- Ocala, FL
- NPI 1235770686
-
- Diagnostic Radiology Physician
- Huntsville, AL
- NPI 1164665931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1902920267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SE",
"address_2": "SUITE 200",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014551",
"telephone_number": "256-539-0457",
"fax_number": "256-539-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SE",
"address_2": "SUITE 200",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014551",
"telephone_number": "256-539-0457",
"fax_number": "256-539-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "KATHERINE",
"middle_name": "NULL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "AL",
"license": "28003",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "MD.28003",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "28003",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51005348",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910520",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51067223",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51595542",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51595543",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51595544",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51595545",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051558877",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51595541",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910373",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911018",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910447",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009910521",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.