Javier Montelongo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1030367 Issued in TX

Practice address

13526 Voelcker Ranch Dr
San Antonio, TX 78231-2244

Phone

(956) 221-1365

NPI assigned

Mar 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians

Bloom Physician Housecalls PAGroup PAC ID 9032653563, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Theracare Home Health Home health agency, San Antonio, TX, CCN 677248
• Mission Home Health Home health agency, San Antonio, TX, CCN 743121

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dogwood Home Health Care, LLC

  • Home Health Agency
  • Palmview, TX
  • NPI 1073818464

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

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.

• Bloom Physician Housecalls PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1770322299
  Medicare reassignment Care Compare group NPD
• Arboleda Home Healthcare, LLC

  • Home Health Agency
  • Palmview, TX
  • NPI 1841617636
  NPD Authorized official
• Dogwood Home Health Care, LLC

  • Home Health Agency
  • Palmview, TX
  • NPI 1073818464
  NPD Authorized official
• Rise Up Rehab, LLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1962054858
  Care Compare group
• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475
  NPD (past)
• Yun W Kim, MD, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1588005672
  NPD (past)

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

• Cantex Home Health Fort Worth LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1356782536
  Care Compare affiliation
• Mission HHH LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1194362350
  Care Compare affiliation

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1962089664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13526 VOELCKER RANCH DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312244",
            "telephone_number": "956-221-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13526 VOELCKER RANCH DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312244",
            "telephone_number": "956-221-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELONGO",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Roberta Montejano, NP
• Eusebio M Montejo, M.D.
• Joseph Anthony Montellano, LCDC, LPC-A
• Mary Louise Montellano
• Ashley Kay Montelongo
• Saul Montelongo, MD
• Christopher Montemar, OT
• Montemayor Internal Medicine
• Leslie Ambar Montemayor Martinez
• Alfonso Montemayor, OD

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.