KAITLYN BLAIRE MONTGOMERY PA
NPI 1538463682
Physician Assistant in Brooklyn, NY

Active since January 04, 2011PECOS EnrolledAccepts Medicare Assignment
374 STOCKHOLM ST, BROOKLYN, NY 11237(718) 963-7272 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kaitlyn Blaire Montgomery Pa NPPES

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

KAITLYN BLAIRE MONTGOMERY PA (NPI 1538463682) is an individual physician assistant in Brooklyn, New York, licensed in New York (014224-1) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1538463682
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN BLAIRE MONTGOMERYCredential: PA
Location Address374 STOCKHOLM STBrooklyn, NY 11237-4006
Mailing Address140 4th Ave, Apt 1lBrooklyn, NY 11217-2739 · (845) 742-4253
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 4, 2011
Last NPPES UpdateSeptember 23, 2019
✔ NPI 1538463682 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 NY · 014224-1
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.
374 STOCKHOLM ST, Brooklyn, NY 11237

Secondary Practice Location 1

Location 1288 Flatbush AveBrooklyn, NY 11217-2812 · Phone (718) 656-1290

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

Kaitlyn Blaire Montgomery Pa 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 ID4183807928
PECOS Enrollment IDI20110331000599
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

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11237 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

General Acute Care Hospital
374 STOCKHOLM ST
BROOKLYN, NY 11237
Internal Medicine (Infectious Disease)
374 STOCKHOLM ST
BROOKLYN, NY 11237
Internal Medicine
374 STOCKHOLM ST
BROOKLYN, NY 11237
Registered Nurse
374 STOCKHOLM ST
BROOKLYN, NY 11237
Family Medicine
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Obstetrics & Gynecology
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH
BROOKLYN, NY 11237
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT-SUITE I37N
BROOKLYN, NY 11237

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 Kaitlyn Montgomery's NPI number?

The NPI number for Kaitlyn Montgomery is 1538463682. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Kaitlyn Montgomery located?

Kaitlyn Montgomery practices at 374 Stockholm St, Brooklyn, NY 11237. The listed phone number is (718) 963-7272.

What is Kaitlyn Montgomery's specialty?

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

Is Kaitlyn Montgomery enrolled in Medicare?

Yes. Kaitlyn Montgomery 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.

Is Kaitlyn Montgomery affiliated with any hospitals?

According to CMS data, Kaitlyn Montgomery is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Montgomery was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.