MONTGOMERY PEDIATRICS INCORPORATED
NPI 1194917062
Preferred Provider Organization in Cincinnati, OH
NPI Status: Active since August 15, 2007
Contact Information
10700 MONTGOMERY RD
SUITE 100
CINCINNATI, OH
ZIP 45242
Phone: (513) 984-5552
Fax: (513) 984-5554
- Organization
- Preferred Provider Organization
- Accepts Insurance
- CLIA Number: 36D0347821
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-02-2028
About MONTGOMERY PEDIATRICS INCORPORATED
This page provides the complete NPI Profile along with additional information for Montgomery Pediatrics Incorporated, a provider established in Cincinnati, Ohio operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1194917062 assigned on August 2007. The practitioner's primary taxonomy code is 305R00000X with license number 35041085L (OH). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Jenny Vaughn (Office Manager)
- NPI
- 1194917062
- Provider Name
- MONTGOMERY PEDIATRICS INCORPORATED
- Entity Type
- Organization
- Location Address
- 10700 MONTGOMERY RD SUITE 100 CINCINNATI, OH 45242
- Location Phone
- (513) 984-5552
- Location Fax
- (513) 984-5554
- Mailing Address
- 10700 MONTGOMERY RD SUITE 100 CINCINNATI, OH 45242
- Mailing Phone
- (513) 984-5552
- Mailing Fax
- (513) 984-5554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2007
- Last Update Date
- 08-15-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 35041085L
- License State
- OH
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Silver 6000 $20 Generic Drugs - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0347821
- Facility Type
- Physician Office
- Certificate Effective Date
- June 03, 2026
- Certificate Expiration Date
- June 02, 2028
- Laboratory Director
- SHARON D'SOUZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Montgomery Pediatrics Incorporated to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MONTGOMERY PEDIATRICS INCORPORATED
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194917062, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CINCINNATI, OH 45242
MONTGOMERY, OH 45242
CINCINNATI, OH 45242
CINCINNATI, OH 45242
CINCINNATI, OH 45242
CINCINNATI, OH 45242
CINCINNATI, OH 45242
CINCINNATI, OH 45242
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194917062, enumerated as an "organization" on August 15, 2007.
The provider is located at 10700 MONTGOMERY RD SUITE 100 CINCINNATI, OH 45242 and the phone number is (513) 984-5552.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
