DR. MARK L. MONTGOMERY M.D. NPI 1366403347

NPI Information

  • NPI: 1366403347
  • Provider Name: DR. MARK L. MONTGOMERY, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2401 S 31ST ST
    TEMPLE, TX
    ZIP 76508
  • Phone: (254) 724-2111

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NPI Details

DR. Mark L. Montgomery, M.D. is a vascular and interventional radiology radiology in Temple, TX with 33 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Mark L. Montgomery, M.D. NPI is 1366403347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2401 S 31ST ST
TEMPLE, TX
ZIP 76508-001
Phone: (254) 724-2111

The NPI 1366403347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 3/30/2006 and was last updated on 1/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyJ6603TEXASNo
22085R0204XRadiologyVascular & Interventional RadiologyJ6603TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11050882-01OTHERTEXASCSHCN
21050882-02MEDICAIDTEXAS
387433YOTHERTEXASBLUE SHIELD
4300115737OTHERTEXASRR/MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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