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

MS. Ixchel Victoria Montenegro, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1619468949

MS. Ixchel Victoria Montenegro, PHYSICIANASSISTANT is a Physician Assistant in Baltimore, Maryland. Qualified in 2017, 9 years ago. Practices with Greater Baltimore Medical Center Inc, a 348-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2018
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Practice location Address checks out

345 Saint Paul St
Baltimore, MD 21202-2123
Phone: (410) 332-9692
Fax: (410) 576-5486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0006799 (MD)

Record details

NPI number1619468949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Greater Baltimore Medical Center Inc — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Baltimore