KYLE MEDER MONTGOMERY DO
NPI 1144807124
Anesthesiology - Critical Care Medicine in Rochester, MN

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2025, Mar 26, 2021 (2 updates tracked since 2021).

About Kyle Meder Montgomery Do NPPES

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

KYLE MEDER MONTGOMERY DO (NPI 1144807124) is an individual critical care medicine provider in Rochester, Minnesota, licensed in Minnesota (79860) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1144807124
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameKYLE MEDER MONTGOMERYCredential: DO
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
NPI 1144807124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License Licensed in MN · 79860
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
200 1ST ST SW, Rochester, MN 55905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle Meder Montgomery Do 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 ID6305246612
PECOS Enrollment IDI20250904001686
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.

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

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
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Kyle Montgomery's NPI number?

The NPI number for Kyle Montgomery is 1144807124. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Kyle Montgomery located?

Kyle Montgomery practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Kyle Montgomery's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Kyle Montgomery enrolled in Medicare?

Yes. Kyle Montgomery 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.

Is Kyle Montgomery affiliated with any hospitals?

According to CMS data, Kyle Montgomery is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Kyle Montgomery was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.