Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TYLER PAUL MONTGOMERY MD
NPI 1275162695
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Tyler Montgomery's NPI number?

The NPI number for Tyler Montgomery is 1275162695. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Tyler Montgomery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Montgomery was last updated on July 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2020PECOS Enrolled

20900 BISCAYNE BLVD, MIAMI, FL 33180(305) 692-3299 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2026, Mar 31, 2025, Mar 28, 2025 and 2 more (5 updates tracked since 2020).

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About Tyler Paul Montgomery Md NPPES

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

TYLER PAUL MONTGOMERY MD (NPI 1275162695) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Florida Atlantic University, College Of Medicine (2026).

NPPES Registry Identity

NPI1275162695

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER PAUL MONTGOMERYCredential: MD

Location Address20900 BISCAYNE BLVDMiami, FL 33180-1407

Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310

Phone(305) 692-3299

Sole ProprietorNo

Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2026

Enumeration DateApril 7, 2020

Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1275162695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD2025-0331 (NM)

20900 BISCAYNE BLVD, Miami, FL 33180

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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

Tyler Paul Montgomery Md 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 ID2668987405

PECOS Enrollment IDI20250711002104

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 5

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100167

Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Unm Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number320001

Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo 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.

MISS ANNA RITA TALERICO P.A.

Physician Assistant