James Samuel Montana

Individual provider Active NPI Internal Medicine Physician · Ely, MN

NPI 1922032200 · NPPES record last updated Feb 17, 2016

Key facts

NPI
1922032200
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
38029 (MN)
Practice address
300 W Conan St
Ely, MN 55731-1145
Phone
(218) 365-7900
Fax
(218) 365-7975
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 16

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTD (1,135 clinicians)
Essentia Health Virginia LLC (64 clinicians)
St Josephs Medical Center (238 clinicians)

Practice addresses (Care Compare)

1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150

300 W Conan St
Ely, MN 55731-1145
Phone (218) 365-7900

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861

Hospital & facility affiliations

  • Spectrum Community Health Inc Home health agency · Inver Grove Heights, MN · CCN 247127
  • Essentia Health Virginia Hospital · Virginia, MN · CCN 240084
  • Ely - Bloomenson Community Hospital Hospital · Ely, MN · CCN 241318
  • Essentia Health Duluth Hospital · Duluth, MN · CCN 240019
  • Essentia Health St Joseph'S Medical Center Hospital · Brainerd, MN · CCN 240075
  • Essentia Health St Mary'S Medical Center Hospital · Duluth, MN · CCN 240002
  • Boundary Waters Care Center Nursing home · Ely, MN · CCN 245138
  • Ely - Bloomenson Community Hospital Nursing home · CCN 24Z318

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040510000179 MN Practitioner - Internal Medicine 5799774378 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services Current
since Jan 27, 2010
Accepting new patients
St. Joseph'S Medical Center Current
since Nov 23, 2020
Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
The Duluth Clinic, LTD. Current
since Jan 7, 2002
Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St Joseph'S Medical Center Current
since Nov 23, 2020
Accepting new patients
Essentia Health Virginia, LLC Current
since Sep 1, 2013
Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Essentia Health Virginia, LLC Current
since Sep 1, 2013
Accepting new patients
The Duluth Clinic LTD Current
since Jan 7, 2002
Accepting new patients
Range Regional Health Services Current
since Jan 27, 2010
Accepting new patients
Ely-Bloomenson Community Hospital Current Accepting new patients
Range Regional Health Services Current Accepting new patients
Boundary Waters Care Center Past Accepting new patients
Essentia Health Virginia, LLC Past Accepting new patients

Locations

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

328 W Conan St
Ely, MN 55731
Phone (218) 365-3271

300 W Conan St
Ely, MN 55731
Phone (218) 365-7900

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

730 E 34th St
Hibbing, MN 55746
Phone (218) 262-3425

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38029 MN Yes

Addresses

Primary practice location

300 W Conan St
Ely, MN 55731-1145

Mailing address

300 W Conan St
Ely, MN 55731-1145
Phone (218) 365-7900

Other identifiers

IdentifierTypeStateIssuer
311726000MedicaidMN

Other providers in Ely, MN

All providers in Ely, MN · Internal Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.