MARK H MONTGOMERY MD PA
NPI 1851697023
Clinic/Center - Medical Specialty in Bonita Springs, FL
About Mark H Montgomery Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK H MONTGOMERY MD PA (NPI 1851697023) is a healthcare organization registered as a medical specialty in Bonita Springs, Florida and active in the NPI registry since February 2011. The organization lists Mark H Montgomery, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark H Montgomery Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mark H Montgomery MD PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Cape Coral, FL 33990
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mark H Montgomery MD PA's NPI number?
The NPI number for Mark H Montgomery MD PA is 1851697023. It was assigned to this organization in the NPPES registry on February 4, 2011.
Where is Mark H Montgomery MD PA located?
Mark H Montgomery MD PA is located at 9240 Bonita Beach Rd SE Suite 1106, Bonita Springs, FL 34135. The listed phone number is (239) 495-6200.
What is Mark H Montgomery MD PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Mark H Montgomery MD PA enrolled in Medicare?
Yes. Mark H Montgomery MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mark H Montgomery MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mark H Montgomery MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (3) and Qualified Audiologist (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mark H Montgomery MD PA was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mark H Montgomery Md Pa · NPI 1851697023
Medical Specialty organization in Bonita Springs, Florida. Organization record, active in the CMS NPPES registry since February 4, 2011.
## Identity
- **NPI:** 1851697023 (Entity type: Organization)
- **Enumerated:** February 4, 2011
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Mark Montgomery, OWNER/PHYSICIAN
## Practice location
- **Address:** 9240 BONITA BEACH RD SE, SUITE 1106, Bonita Springs, FL 34135-4249
- **Phone:** (239) 495-6200 · **Fax:** (239) 495-6247
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (3), Qualified Audiologist (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2011
- **Other identifiers:** Medicare UPIN A95011 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1851697023) · Data from the CMS NPPES public registry.