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DR. JUAN F MONTALVO M.D.
NPI 1447268016
Obstetrics & Gynecology in Laredo, TX

Active since August 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0942248 · Waiver
10410 MEDICAL LOOP BLDG 3B, LAREDO, TX 78045(956) 712-1294(956) 712-8130 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan F Montalvo M.d. NPPES

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

DR. JUAN F MONTALVO M.D. (NPI 1447268016) is an individual obstetrics & gynecology provider in Laredo, Texas, licensed in Texas (J5618) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 7, 2027, and is a graduate of University Of Texas Medical School At Houston (1992).

NPPES Registry Identity

NPI1447268016
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUAN F MONTALVOCredential: M.D.
Location Address10410 MEDICAL LOOP BLDG 3BLaredo, TX 78045-6672
Mailing Address10410 Medical Loop Bldg 3bLaredo, TX 78045-6672 · (956) 712-1294 · Fax (956) 712-8130
Phone(956) 712-1294
Fax(956) 712-8130
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1992
Enumeration DateAugust 3, 2006
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1447268016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · J5618
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10410 MEDICAL LOOP BLDG 3B, Laredo, TX 78045
Open in Google Maps ↗

Other Identifiers 2

Medicaid121317506TX
OtherTXB114525TX · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Juan F Montalvo M.d. 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 ID2062600760
PECOS Enrollment IDI20101222000507
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0942248

Juan F Montalvo MD PA · Laredo, TX
Active · expires Nov 7, 2027
CLIA Number45D0942248
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorJuan F. Montalvo
Laboratory Phone(956) 712-1294
Laboratory LocationJuan F Montalvo MD PA10410 Medical Loop Bldg 3B, Laredo, TX 78045
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
41 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78045 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN F MONTALVO, MD, PA
Specialist
10410 MEDICAL LOOP BLDG 3B
LAREDO, TX 78045
Webb County (956) 712-1294

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 Juan Montalvo's NPI number?

The NPI number for Juan Montalvo is 1447268016. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Juan Montalvo located?

Juan Montalvo practices at 10410 Medical Loop Bldg 3B, Laredo, TX 78045. The listed phone number is (956) 712-1294.

What is Juan Montalvo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Juan Montalvo enrolled in Medicare?

Yes. Juan Montalvo 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.

Does Juan Montalvo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0942248) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Juan Montalvo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Juan Montalvo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Montalvo was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.