Dr. Joseph Montecalvo III, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Detroit, MI. Individual provider (NPI-1).
NPI number1114263290
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1114263290
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Montecalvo III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2012
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 4301119347 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 800-653-6568
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 800-653-6568
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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