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ZACK ALLEN MONTGOMERY
NPI 1700469715
Surgery in Detroit, MI

Active since April 28, 2021PECOS Enrolled
2799 W GRAND BLVD RM 127, DETROIT, MI 48202(313) 916-3056 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zack Allen Montgomery NPPES

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

ZACK ALLEN MONTGOMERY (NPI 1700469715) is an individual surgery provider in Detroit, Michigan, licensed in Michigan (4351050165) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1700469715
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameZACK ALLEN MONTGOMERY
Location Address2799 W GRAND BLVD RM 127Detroit, MI 48202-2608
Mailing Address110 Stephens RdGrosse Pointe Farms, MI 48236-3625 · (313) 720-0692
Phone(313) 916-3056
Sole ProprietorYes
Enumeration DateApril 28, 2021
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1700469715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4351050165
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2799 W GRAND BLVD RM 127, Detroit, MI 48202
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Secondary Practice Location 1

Location 1540 E Canfield StDetroit, MI 48201-1928 · Phone (313) 577-1463

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zack Allen Montgomery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Zack Montgomery's NPI number?

The NPI number for Zack Montgomery is 1700469715. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Zack Montgomery located?

Zack Montgomery practices at 2799 W Grand Blvd Rm 127, Detroit, MI 48202. The listed phone number is (313) 916-3056.

What is Zack Montgomery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Zack Montgomery enrolled in Medicare?

Yes. Zack Montgomery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zack Montgomery was last updated on June 15, 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.