Douglas D. Montgomery, M.D.
Radiology, Diagnostic Radiology in Hartford, CT. Individual provider (NPI-1).
NPI number1477539484
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1477539484
- Entity type
- Individual (NPI-1)
- Name
- Douglas D. Montgomery
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Jun 12, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- 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 |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 041348 | CT | Yes |
Practice location
85 Seymour StSuite 200
Hartford, CT 06106
Phone 860-289-3375 · Fax 860-560-2849
Mailing address
111 Founders PlzSuite 400
East Hartford, CT 06108-3212
Phone 860-291-6554 · Fax 860-528-0778
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