ANDREW MONTALVO – Anesthesiologist Assistant, NPI 1760960496

ANDREW MONTALVO is a healthcare provider. based in Acworth, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. The NPI Number for ANDREW MONTALVO is 1760960496

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MONTALVO
NPI
1760960496
Phone
(770) 296-9197
Address
4612 SADDLE GATE LN
Enumeration Date
3 August 2018
Last Update Date
3 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042571415
Graduation Year
2018 (8 years ago)
PAC ID
4183978018
Group Practice PAC ID
9830170059
Professional Enrollment ID
I20181113001758
Address ID
GA303421764AT5665XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

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Provider Addresses for ANDREW MONTALVO

  • 4612, Saddle Gate Lane, Etowah Cove, Acworth, Cobb County, Georgia, 30101, United States

    ACWORTH, GA 301015287

    Phone: (770) 296-9197

    Type: Mailing

  • Peachtree Dunwoody Road, Atlanta, Fulton County, Georgia, 30326, United States

    ATLANTA, GA 303425000

    Phone: (404) 257-1415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181113001758IAnesthesiology AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00320Anesthesia for other procedure on neck area (1 year or older)1616$0
View full utilization report →

Insurance plans in this area (ZIP 30101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830170059View full group profile
NameSpecialtyState
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

What number should I use to identify ANDREW MONTALVO for billing?
Administrative and clinical systems typically use NPI 1760960496 for ANDREW MONTALVO.
Quick check: is ANDREW MONTALVO active?
Public NPPES data shows ANDREW MONTALVO with an active NPI status right now.
What type of care does ANDREW MONTALVO provide?
ANDREW MONTALVO's profile centers on Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANDREW MONTALVO?
ANDREW MONTALVO is associated with Acworth, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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