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JUAN JOSE MONTOYA NOVOA MD
NPI 1053046714
Family Medicine in Ithaca, MI

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
114 N MAIN ST, ITHACA, MI 48847(989) 875-4166(989) 875-5168 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juan Jose Montoya Novoa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN JOSE MONTOYA NOVOA MD (NPI 1053046714) is an individual family medicine provider in Ithaca, Michigan, licensed in Michigan (4301514500) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053046714
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUAN JOSE MONTOYA NOVOACredential: MD
Location Address114 N MAIN STIthaca, MI 48847-1132
Mailing Address114 N Main StIthaca, MI 48847-1132 · (989) 875-4166 · Fax (989) 875-5168
Phone(989) 875-4166
Fax(989) 875-5168
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 18, 2022
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1053046714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301514500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 N MAIN ST, Ithaca, MI 48847
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Jose Montoya Novoa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537669320
PECOS Enrollment IDI20250826001127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Juan Montoya Novoa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sparrow Carson Hospital
Same address
Rural Health
114 N MAIN ST
Ithaca, MI 48847
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
NPI 1770553547 (989) 875-4166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230030
Location300 E Warwick DrAlma, MI 48801 · Gratiot County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48847 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HALLIE J WILSON DO
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
PAULA LOU ELLSWORTH NP
Nurse Practitioner (Family)
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
DR. HILLARY AGNES SHEMES D.O.
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
MR. THOMAS J KNIGHT PA C
Physician Assistant
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
EDWARD LEWIS MD PC
Surgery
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4707
SPARROW CARSON HOSPITAL
Clinic/Center (Rural Health)
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
DR. DAVID J FREESTONE MD
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166
DR. RUSSELL J ANDERSON DO
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Gratiot County (989) 875-4166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Montoya Novoa's NPI number?

The NPI number for Juan Montoya Novoa is 1053046714. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Juan Montoya Novoa located?

Juan Montoya Novoa practices at 114 N Main St, Ithaca, MI 48847. The listed phone number is (989) 875-4166.

What is Juan Montoya Novoa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Juan Montoya Novoa enrolled in Medicare?

Yes. Juan Montoya Novoa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Juan Montoya Novoa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Montoya Novoa reassigns Medicare benefits to Sparrow Carson Hospital (Ithaca, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Montoya Novoa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Montoya Novoa accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Juan Montoya Novoa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Juan Montoya Novoa affiliated with any hospitals?

According to CMS data, Juan Montoya Novoa is affiliated with Mymichigan Medical Center Alma, Mymichigan Medical Center Clare, Sparrow Carson Hospital and Sparrow Clinton Hospital.

When was this NPI record last updated?

The NPPES record for Juan Montoya Novoa was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.