KELLY MONTGOMERY MD
NPI 1114611035
Anesthesiology in Philadelphia, PA

Active since June 05, 2023PECOS Enrolled
3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Montgomery Md NPPES

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

KELLY MONTGOMERY MD (NPI 1114611035) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT229002) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114611035
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKELLY MONTGOMERYCredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2036 Carmel DrJamison, PA 18929-1437 · (267) 615-4813
Sole ProprietorNo
Enumeration DateJune 5, 2023
NPPES CertifiedMay 29, 2023
NPI 1114611035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in PA · MT229002
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3401 N BROAD ST, Philadelphia, PA 19140

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Montgomery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Kelly Montgomery's NPI number?

The NPI number for Kelly Montgomery is 1114611035. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Kelly Montgomery located?

Kelly Montgomery practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.

What is Kelly Montgomery's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kelly Montgomery enrolled in Medicare?

Yes. Kelly Montgomery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Montgomery was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.