DR. OTTO R GARCIA MONTENEGRO M.D.
NPI 1790773992
Internal Medicine in Chicago, IL

Q: What is Otto Garcia Montenegro's NPI number?

The NPI number for Otto Garcia Montenegro is 1790773992. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Q: What is Otto Garcia Montenegro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment

2004 N PULASKI RD, CHICAGO, IL 60639(773) 772-8876(773) 252-3091 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jan 15, 2019, Aug 8, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Otto R Garcia Montenegro M.d. NPPES

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

DR. OTTO R GARCIA MONTENEGRO M.D. (NPI 1790773992) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036098564) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1790773992

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. OTTO R GARCIA MONTENEGROCredential: M.D.

Location Address2004 N PULASKI RDChicago, IL 60639-3767

Mailing Address2004 N Pulaski RdChicago, IL 60639-3767 · (773) 772-8876 · Fax (773) 252-3091

Phone(773) 772-8876

Fax(773) 252-3091

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateOctober 11, 2005

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1790773992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036098564

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2004 N PULASKI RD, Chicago, IL 60639

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Other Identifiers 1

Medicaid036098564IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Otto R Garcia Montenegro 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 ID8426024365

PECOS Enrollment IDI20040903000089

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.

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

480 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60639 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

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