Active NPI
Fernando R Montoya, MD
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01039723A
- Practice address
- 1001 W 10TH St
Indianapolis, IN 46202-2859 - Phone
- (317) 630-7979
- Fax
- (317) 630-2668
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01039723A | IN | Primary |
Addresses
Primary practice location
1001 W 10TH St
Indianapolis, IN 46202-2859
Mailing address
8910 Purdue Rd
Ste.500
Indianapolis, IN 46268-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100217540 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Hospital & facility affiliations
- Eskenazi Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.69 of 100
- Quality
- 80.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Eskenazi Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients |
Locations
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
1002 Wishard Blvd
Fl 1
Indianapolis, IN 46202
Phone (317) 630-6523
7207 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 546-3343
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
Interoperability endpoints
- fmontoya14358@direct.eskenazihealth.edu
Organizations & group practices 3
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.
-
- Adult Medicine Physician
- Indianapolis, IN
- NPI 1730451063
Internal Medicine
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073178059
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1992756035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 PURDUE RD",
"address_2": "STE.500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022859",
"telephone_number": "317-630-7979",
"fax_number": "317-630-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "FERNANDO",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01039723A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100217540",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.