Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Jose Montoya Novoa, MD

Individual provider Family Medicine Physician · NPI 1053046714

Juan Jose Montoya Novoa, MD is a Family Practice in Ithaca, Michigan. Qualified in 2020, 6 years ago. Practices with Sparrow Carson Hospital, a 64-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

114 N Main St
Ithaca, MI 48847-1132
Phone: (989) 875-4166
Fax: (989) 875-5168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301514500 (MI)

Record details

NPI number1053046714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sparrow Carson Hospital — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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