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Katelyn Patricia Montgomery , PA-C

Physician Assistant β€’ Wilmington, DE

Active NPI 1124436621 Individual Practitioner Female Practitioner
Practice location in NPPES

1600 Rockland Rd
Wilmington, DE 198033607

Call 3026514200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Rockland Rd

Wilmington, DE 198033607

Telephone 3026514200
Fax 3026516410
Organization at the Same NPPES Address or Phone
Lawall Prosthetics Orthotics Inc Facility NPI 1316059876

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Bryn Mawr, PA; Media, PA; Paoli, PA and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wilmington and Delaware

138 active clinicians are listed under Physician Assistant with a practice address in Wilmington, DE (695 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wilmington

12.3% of these 138 clinicians have the CMS telehealth indicator.

44.9% of these 138 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES PA MA056937

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES DC PA031190

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

1068 W Baltimore Pike

Media, PA 190635104

Phone: 6108913432

255 W Lancaster Ave

Paoli, PA 193011763

Phone: 4845651000

130 S Bryn Mawr Ave

Bryn Mawr, PA 190103121

Phone: 4843373000

100 E Lancaster Ave

Wynnewood, PA 190963450

Phone: 4844762000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Barry Dashefsky , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1003980467

Doctor of Medicine (M.D.)

Dr. Josephine Elia , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1063528669

Doctor of Medicine (M.D.)

Dr. Patrick Hanley , MD

Pediatrics - Pediatric Endocrinology

NPI 1053631291

Doctor of Medicine (M.D.)

Larry Heredia , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043302920

Certified Registered Nurse Anesthetist

Dr. Ryan Holton , MD

Internal Medicine

NPI 1083075360

Doctor of Medicine (M.D.)

Dr. Laura Kiszkiel , MD

Obstetrics & Gynecology

NPI 1003079807

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location May 24, 2021

Registered at 1600 ROCKLAND RD, WILMINGTON, DE 198033607 (Tel: 3026514200)

πŸ“
Updated Business Mailing Address May 24, 2021

Registered at PO BOX 191, ROCKLAND, DE 197320191

πŸ‘€
Provider Name / Credentials Updated May 24, 2021

Recorded as KATELYN MONTGOMERY, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Physician Assistant (license number reported to NPPES: PA MA056937)

βœ…
NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 03, 2017

Registered at 111 MICHIGAN AVE NW, WASHINGTON, DC 200102916 (Tel: 2024765000)

πŸ“
Updated Business Mailing Address March 03, 2017

Registered at 111 MICHIGAN AVE NW, WASHINGTON, DC 200102916 (Tel: 2024765000)

πŸ‘€
Provider Name / Credentials Updated March 03, 2017

Recorded as KATELYN KORZUCH, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Physician Assistant (license number reported to NPPES: DC PA031190)

βœ…
NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2014

Registered at 34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 191044399 (Tel: 2155901000)

πŸ“
Business Mailing Address (Initial Record) July 28, 2014

Registered at 34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 191044399

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2014

Recorded as KATELYN KORZUCH, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Physician Assistant (license number reported to NPPES: PA MA056937)

🟒
Initial NPI Registration & Enumeration July 28, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124436621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2014
Last Update: May 24, 2021
Sole Proprietor: No

Other Physician Assistants in Wilmington

All Physician Assistants in Wilmington

Mailing Address

Po Box 191

Rockland, DE 197320191

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.