IVAN E MONTALVO-OTANO MD
NPI 1184660789
Anesthesiology - Pain Medicine in Watertown, NY

Q: What is Ivan Montalvo-otano's NPI number?

The NPI number for Ivan Montalvo-otano is 1184660789. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Ivan Montalvo-otano's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since June 21, 2006PECOS Enrolled

830 WASHINGTON ST, WATERTOWN, NY 13601(315) 785-4313(315) 779-5114 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ivan E Montalvo-otano Md NPPES

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

IVAN E MONTALVO-OTANO MD (NPI 1184660789) is an individual pain medicine provider in Watertown, New York, licensed in New York (218973) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184660789

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameIVAN E MONTALVO-OTANOCredential: MD

Location Address830 WASHINGTON STWatertown, NY 13601-4034

Mailing Address830 Washington StWatertown, NY 13601-4034 · (315) 785-4313 · Fax (315) 779-5114

Phone(315) 785-4313

Fax(315) 779-5114

Sole ProprietorNo

Enumeration DateJune 21, 2006

Last NPPES UpdateApril 17, 2024

NPPES CertifiedApril 17, 2024

✔ NPI 1184660789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in NY · 218973

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 218973 (NY)

830 WASHINGTON ST, Watertown, NY 13601

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Other Identifiers 1

Medicaid02098319NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan E Montalvo-otano 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.

Medicare Billing Reassignments

Medicare enrollment records show Ivan Montalvo-otano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jefferson Anesthesiologist Services PC

Same address

Anesthesiology

830 WASHINGTON ST
Watertown, NY 13601

Reassigned Medicare billing, New York enrollment
84 clinicians in this Medicare group

NPI 1508818014 (315) 785-4313

Samaritan Medical Center

Same address

Rehabilitation Unit

830 WASHINGTON ST
Watertown, NY 13601

Reassigned Medicare billing, New York enrollment
183 clinicians in this Medicare group

NPI 1093722068 (315) 786-4800

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

74 services51 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

50 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services29 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

24 services21 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

13 services13 patients

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.

JIN JU YI

Student in an Organized Health Care Education/Training Program