MS. IXCHEL VICTORIA MONTENEGRO PHYSICIAN ASSISTANT
NPI 1619468949
Physician Assistant in Baltimore, MD

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
85.31/100
CMS Quality Rating
345 SAINT PAUL ST, BALTIMORE, MD 21202(410) 332-9692(410) 576-5486 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, May 22, 2018 (2 updates tracked since 2018).

About Ms. Ixchel Victoria Montenegro Physician Assistant NPPES

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

MS. IXCHEL VICTORIA MONTENEGRO PHYSICIAN ASSISTANT (NPI 1619468949) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0006799) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619468949
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. IXCHEL VICTORIA MONTENEGROCredential: PHYSICIAN ASSISTANT
Location Address345 SAINT PAUL STBaltimore, MD 21202-2123
Mailing Address345 Saint Paul StBaltimore, MD 21202-2123 · (410) 332-9692 · Fax (410) 576-5486
Fax(410) 576-5486
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2018
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1619468949 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 MD · C0006799
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.
345 SAINT PAUL ST, Baltimore, MD 21202

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

Ms. Ixchel Victoria Montenegro Physician Assistant 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 ID3476801002
PECOS Enrollment IDI20190809001538
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.

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.76
Promoting Interoperability100
Improvement Activities40
Cost59.28

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$65.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
345 SAINT PAUL ST
BALTIMORE, MD 21202
Nurse Practitioner (Family)
345 SAINT PAUL ST
BALTIMORE, MD 21202
Nurse Practitioner (Primary Care)
345 SAINT PAUL ST
BALTIMORE, MD 21202
Nurse Practitioner (Gerontology)
345 SAINT PAUL ST
BALTIMORE, MD 21202
Student in an Organized Health Care Education/Training Program
345 SAINT PAUL ST
BALTIMORE, MD 21202
Social Worker (Clinical)
345 SAINT PAUL ST
BALTIMORE, MD 21202
Anesthesiology
345 SAINT PAUL ST, MERCY MEDICAL CENTER, BUNTING BUILDING, 7TH FLOOR
BALTIMORE, MD 21202
Obstetrics & Gynecology
345 SAINT PAUL ST
BALTIMORE, MD 21202

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 Ixchel Montenegro's NPI number?

The NPI number for Ixchel Montenegro is 1619468949. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Ixchel Montenegro located?

Ixchel Montenegro practices at 345 Saint Paul St, Baltimore, MD 21202. The listed phone number is (410) 332-9692.

What is Ixchel Montenegro's specialty?

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

Is Ixchel Montenegro enrolled in Medicare?

Yes. Ixchel Montenegro 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 Ixchel Montenegro affiliated with any hospitals?

According to CMS data, Ixchel Montenegro is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Ixchel Montenegro was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.