DERRICK A. MONTGOMERY M.D. – NPI #1225133499
Ophthalmology

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Health Care Provider Taxonomy Code for Ophthalmology

DERRICK MONTGOMERY is an ophthalmologist located in ANDREWS AIR FORCE BASE, MD. NPPES has assigned the NPI number 1225133499 to DERRICK MONTGOMERY on September 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0120X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Cornea and External Diseases Specialist

The NPI profile was previously updated about 4 years ago on Jun 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERRICK MONTGOMERY below.

NPI Profile for
DERRICK A. MONTGOMERY

NPI Number
1225133499
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DERRICK A. MONTGOMERY
Credentials
M.D.
Primary location
316TH MDG
1060 W. PERIMETER RD SUITE 3K43
ANDREWS AIR FORCE BASE, MD 20762
Phone: (240) 612-1730 Fax:
1 Other location(s):
4881 Sugar Maple Dr
88th MDG
Wright Patterson AFB, OH 45433-5529
Phone: (937) 257-3509
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0120X
- Ophthalmology / Cornea and External Diseases Specialist (Primary)		 OH 35.125039
207WX0107X
- Ophthalmology / Retina Specialist		 OH 35.125039
207W00000X
- Ophthalmology		 CA A96117

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL - Graduated 2002
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.

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