Active NPI
Theresa E Montoya-Houser, MD
- Adult Medicine Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036117394
- Practice address
- 1818 E Windsor Rd
Urbana, IL 61802-9566 - Phone
- (217) 255-9646
- Fax
- (217) 326-1777
- NPI assigned
- May 25, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200101375 | NC | |
| Internal Medicine Physician | 207R00000X | 036117394 | IL | |
| Internal Medicine Physician | 207R00000X | 65030 | GA | |
| Adult Medicine Physician | 207QA0505X | 036117394 | IL | Primary |
Addresses
Primary practice location
1818 E Windsor Rd
Urbana, IL 61802-9566
Mailing address
611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-6941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12922 | Other | NC | BCBS OF NC |
Other names 1
- Theresa E Montoya
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036117394 | IL | MD | Internal Medicine Physician |
| 200101375 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Eastern Medical Associates, PA | Past | Accepting new patients | |
| Eastern Medical Associates, PA | Past | Accepting new patients | |
| Internal Medicine Associates of Lee County MD PA | Internal Medicine | Past | Accepting new patients |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1818 E Windsor Rd
Urbana, IL 61802
Phone (217) 255-9646
810 W Anthony Dr
Urbana, IL 61802
Phone (217) 326-2911
Organizations & group practices 7
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- General Practice Physician
- Goldsboro, NC
- NPI 1194762807
-
- Family Medicine Physician
- Pikeville, NC
- NPI 1922045673
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1972565919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982650883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E WINDSOR RD",
"city": "URBANA",
"state": "IL",
"postal_code": "618029566",
"telephone_number": "217-255-9646",
"fax_number": "217-326-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA-HOUSER",
"first_name": "THERESA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200101375",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036117394",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "65030",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036117394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "12922",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "MONTOYA",
"middle_name": "E",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.