JAZZMYNE MONTGOMERY MD
NPI 1811516065
Urology in Ann Arbor, MI
About Jazzmyne Montgomery Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAZZMYNE MONTGOMERY MD (NPI 1811516065) is an individual urology provider in Ann Arbor, Michigan, licensed in Michigan (4301513820) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jazzmyne Montgomery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
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 Jazzmyne Montgomery's NPI number?
The NPI number for Jazzmyne Montgomery is 1811516065. It was assigned to this individual provider in the NPPES registry on April 8, 2020.
Where is Jazzmyne Montgomery located?
Jazzmyne Montgomery practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.
What is Jazzmyne Montgomery's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Jazzmyne Montgomery enrolled in Medicare?
Yes. Jazzmyne Montgomery is registered in the Medicare PECOS enrollment system.
What insurance does Jazzmyne Montgomery accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jazzmyne Montgomery 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 Jazzmyne Montgomery was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Jazzmyne Montgomery, MD · NPI 1811516065
Urology physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1811516065 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 4301513820 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109-5000
- **Phone:** (734) 936-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811516065) · Data from the CMS NPPES public registry.