DR. OTTO R GARCIA MONTENEGRO M.D.
NPI 1790773992
Internal Medicine in Chicago, IL
NPI Status: Active since October 11, 2005
Contact Information
2004 N PULASKI RD
CHICAGO, IL
ZIP 60639
Phone: (773) 772-8876
Fax: (773) 252-3091
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About OTTO GARCIA MONTENEGRO
This page provides the complete NPI Profile along with additional information for Otto Garcia Montenegro, an internist established in Chicago, Illinois with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1790773992 assigned on October 2005. The practitioner's primary taxonomy code is 207R00000X with license number 036098564 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1790773992
- Provider Name
- DR. OTTO R GARCIA MONTENEGRO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2004 N PULASKI RD CHICAGO, IL 60639
- Location Phone
- (773) 772-8876
- Location Fax
- (773) 252-3091
- Mailing Address
- 2004 N PULASKI RD CHICAGO, IL 60639
- Mailing Phone
- (773) 772-8876
- Mailing Fax
- (773) 252-3091
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-11-2005
- Last Update Date
- 07-21-2022
- Code Navigator
An internist like Otto Garcia Montenegro is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036098564
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036098564 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Otto Garcia Montenegro is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60639 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. OTTO R GARCIA MONTENEGRO M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 7 | 3 | 9 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 7 | 6 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 6 + 9 + 1 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1790773992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619941614 | MR. HISHAM SAAD SADEK MD Individual | Psychiatry & Neurology (Psychiatry) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1508058934 | LOGAN SQUARE SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 227-3950 |
| 1891018412 | RASHEED SHARIFA PHARMACIST Individual | Pharmacist | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 227-1211 |
| 1649581471 | NAJAT SHABA GEORGE M.D. Individual | Family Medicine | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1144516535 | URGENT CARE MEDICAL SERVICE CORPORATION Organization | Clinic/Center (Urgent Care) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1679832653 | R. L. DENTAL ASSOCIATES, P. C. Organization | Dentist (General Practice) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 342-5923 |
| 1902140072 | MERCY J KOLENCHERY APN Individual | Nurse Practitioner (Family) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1831435544 | PAIN TREATMENT CENTER OF CHICAGO Organization | Anesthesiology | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1407194400 | TATJANA PAVLOVIC M.D. Organization | Ophthalmology | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1366840415 | LOGAN SQUARE URGENT CARE CENTER CORPORATION Organization | Surgery | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1528110392 | DR. MARTHA MARIA KACHMARYK MD Individual | Ophthalmology | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1477570299 | ABDULGHANY TABBARA M.D. Individual | Obstetrics & Gynecology | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1700973997 | SHARIF PHARMACY INC Organization | Pharmacy (Community/Retail Pharmacy) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 227-1211 |
| 1316568579 | GUIDANCE TREATMENT LLC CENTER Organization | Psychiatry & Neurology (Psychiatry) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1801887583 | HERMOSA DENTAL CLINIC Organization | Dentist | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 342-5923 |
| 1578960282 | URGENT MEDICAL CENTER SC Organization | Clinic/Center (Urgent Care) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1003080847 | RITA ZAFRA MD Individual | Obstetrics & Gynecology | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
| 1679113534 | ZAFRA B MEDICAL & WELLNESS CENTER LLC Organization | Obstetrics & Gynecology | 2004 N PULASKI RD CHICAGO, IL 60639 (646) 247-6215 |
| 1942052626 | KATABA YAMANI FNP Individual | Nurse Practitioner (Family) | 2004 N PULASKI RD CHICAGO, IL 60639 (773) 772-8876 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790773992, enumerated in the NPI registry as an "individual" on October 11, 2005
The provider is located at 2004 N Pulaski Rd Chicago, Il 60639 and the phone number is (773) 772-8876
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $138.86 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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