NPIMap

Individual provider Active NPI

Nicholas J Kuntz, M.D.

  • Urology Physician
  • Meridian, ID
National Provider Identifier
1104147362
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
3380-320 Issued in WI
Practice address
2855 E Magic View Dr
Meridian, ID 83642-6245
Phone
(208) 639-4900
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 201200739 NC
Urology Physician 208800000X M-15905 ID
Urology Physician 208800000X 3380-320 WI Primary

Addresses

Primary practice location

2855 E Magic View Dr
Meridian, ID 83642-6245

Mailing address

2855 E Magic View Dr
Meridian, ID 83642-6245
Phone (208) 639-4900

Other practice location 1

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Other practice location 2

712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ID, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200220000663 NC Practitioner - Urology 4587091178 Reassigns benefits to 1 organization
I20210920000640 ID Practitioner - Urology 4587091178 Reassigns benefits to 1 organization
I20230929000678 WI Practitioner - Urology 4587091178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, 888 clinicians
Idaho Urologic Institute PAGroup PAC ID 9537199039, 20 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

2855 E Magic View Dr
Meridian, ID 83642-6245
Phone (208) 639-4900

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201200739NCMDUrology Physician
3380-320WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center, Inc CurrentSince Nov 7, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 23, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Nov 7, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Idaho Urologic Institute PA Urology CurrentSince Sep 13, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 23, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

2855 E Magic View Dr
Meridian, ID 83642
Phone (208) 639-4900

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

Interoperability endpoints

  • Direct secure messaging: nkuntz1563910@direct.trinity-health.org
  • Direct secure messaging: nkuntz919442@direct.emplifyhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1104147362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E MAGIC VIEW DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426245",
            "telephone_number": "208-639-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E MAGIC VIEW DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426245",
            "telephone_number": "208-639-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482940",
            "country_code": "US",
            "telephone_number": "608-756-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 Aviation Way",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836051154",
            "country_code": "US",
            "telephone_number": "208-302-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "201200739",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M-15905",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "3380-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.