NPIMap

Individual provider Active NPI

James Samuel Montana

  • Internal Medicine Physician
  • Ely, MN
National Provider Identifier
1922032200
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38029 Issued in MN
Practice address
300 W Conan St
Ely, MN 55731-1145
Phone
(218) 365-7900
Fax
(218) 365-7975
NPI assigned
Jul 10, 2006
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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 38029 MN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040510000179 MN Practitioner - Internal Medicine 5799774378 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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 LTDGroup PAC ID 2567374283, 1,135 clinicians
Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38029MNMDInternal Medicine Physician

Practice roles

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

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

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

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

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

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

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

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1922032200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900",
            "fax_number": "218-365-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900",
            "fax_number": "218-365-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "JAMES",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "38029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, MN

Sources for this page

Verify at the official NPI Registry.