1. Home
  2. Directory
  3. Illinois
  4. Cicero
  5. Physician Assistant
  6. NPI Profile

ANDREW MONTOYA
NPI 1205784014
Physician Assistant in Cicero, IL

Active since March 18, 2026PECOS Enrolled
5741 W CERMAK RD, CICERO, IL 60804(708) 222-0100 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Montoya NPPES

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

ANDREW MONTOYA (NPI 1205784014) is an individual physician assistant in Cicero, Illinois, licensed in Illinois (085.012161) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205784014
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW MONTOYA
Location Address5741 W CERMAK RDCicero, IL 60804-2129
Mailing Address146 N Myrtle AveVilla Park, IL 60181-2225 · (630) 484-3696
Phone(708) 222-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1205784014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.012161
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5741 W CERMAK RD, Cicero, IL 60804
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Montoya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163992975
PECOS Enrollment IDI20260521002770
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60804 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

KATRINA SAM
Physician Assistant
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
ATZEL ALBINO MARTINEZ PA-C
Physician Assistant
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
RUCHIR THAKKAR D.O.
Family Medicine
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
NICOLE ELIZABETH KULA PA-C
Physician Assistant
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
HALEY ROSE SCHELLER PA-C
Physician Assistant
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
CERMAK MEDICAL GROUP LLC
Family Medicine
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
SAMANTHA EMILY MAGRUDER FNP
Nurse Practitioner (Critical Care Medicine)
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100
TAMARA LABAN FNP-C
Nurse Practitioner
5741 W CERMAK RD
CICERO, IL 60804
Cook County (708) 222-0100

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 Andrew Montoya's NPI number?

The NPI number for Andrew Montoya is 1205784014. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Andrew Montoya located?

Andrew Montoya practices at 5741 W Cermak Rd, Cicero, IL 60804. The listed phone number is (708) 222-0100.

What is Andrew Montoya's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Montoya enrolled in Medicare?

Yes. Andrew Montoya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Montoya was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.