Active NPI
Jennifer Monti, M.D.
- Cardiovascular Disease Physician
- Scarborough, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD20969
- Practice address
- 96 Campus Dr
Suite 1
Scarborough, ME 04074-7163 - Phone
- (207) 885-9905
- Fax
- (207) 396-5600
- NPI assigned
- Apr 23, 2010
- Last updated
- Dec 27, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | MD20969 | ME | |
| Cardiovascular Disease Physician | 207RC0000X | 82780 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | MD20969 | ME | Primary |
Addresses
Primary practice location
96 Campus Dr
Suite 1
Scarborough, ME 04074-7163
Mailing address
300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
Phone (207) 661-2000
Other practice location 1
700 S Park St Ste A
Madison, WI 53715-1830
Phone (608) 260-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962729442 | Medicaid | ME | |
| 1962729442 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmonti481099@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Broadway
Bangor, ME 04401-3979
700 S Park St
Suite a
Madison, WI 53715-1830
Phone (608) 260-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20969 | ME | MD | Cardiovascular Disease Physician |
| 82780 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Internal Medicine | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Cardiovascular Disease | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients |
Locations
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611
300 Southborough Dr
Ste 201
South Portland, ME 04106
Phone (207) 661-2000
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Ste A
Madison, WI 53715
Phone (608) 260-2900
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- jmonti2762279@direct.bsmhealth.org
- jmonti481099@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Internal Medicine
-
dba Maine Medical Partners Women's Health
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
dba SSM Health St. Mary's Hospital - Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
dba McFarland Urgent Care
- Urgent Care Clinic/Center
- McFarland, WI
- NPI 1477146082
Hospital
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1962729442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SOUTHBOROUGH DR",
"address_2": "SUITE 201",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066914",
"telephone_number": "207-661-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CAMPUS DR",
"address_2": "SUITE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747163",
"telephone_number": "207-885-9905",
"fax_number": "207-396-5600"
}
],
"practiceLocations": [
{
"address_1": "700 S Park St Ste A",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-260-2900",
"fax_number": "608-260-2956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTI",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD20969",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "82780",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ME",
"license": "MD20969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962729442",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962729442",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmonti481099@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jmonti481099@direct-ehr-ssmhc.com",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St Ste A",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.