Individual provider Active NPI

Martin Kuntz III, MD

  • Diagnostic Radiology Physician
  • Urbana, IL
National Provider Identifier
1346220522
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036118212 Issued in IL
Practice address
611 W. Park St.
Radiology
Urbana, IL 61801-2500
Phone
(217) 383-3270
Fax
(217) 383-4116
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036118212 IL Primary

Addresses

Primary practice location

611 W. Park St.
Radiology
Urbana, IL 61801-2500

Mailing address

611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-6792

Other identifiers 2

IdentifierTypeStateIssuer
180100700MedicaidMN
P00412389OtherMEDICARE RAILROAD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000503 IL Practitioner - Diagnostic Radiology 2961304134 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118212ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Apr 1, 2010 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Christie Clinic, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Dec 1, 2009 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 1, 2020 Accepting new patients
Graham Hospital Association Current Accepting new patients
Carle West Physician Group Inc CurrentSince Mar 17, 2022 Accepting new patients
Graham Hospital Association CurrentSince Mar 22, 2025 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 1, 2020 Accepting new patients
Graham Hospital Association CurrentSince Mar 22, 2025 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

837 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5530

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

810 W Anthony Dr
Urbana, IL 61802
Phone (217) 326-2911

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: mkuntzmd93351@carlehiedirect.net

Organizations & group practices 47

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.

View all 47

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirby Medical Center 80 clinicians
Carle Health Care Incorporated 1,592 clinicians
Graham Hospital Association 124 clinicians
Carle West Physician Group Inc 282 clinicians
Hoopeston Community Memorial Hospital 142 clinicians
Richland Memorial Hospital Inc 107 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540

1001 Heather Dr
Mahomet, IL 61853-2754
Phone (217) 586-8444

101 S Major St
Eureka, IL 61530-1246
Phone (309) 304-2128

1540 E Grove Ave
Rantoul, IL 61866-2736
Phone (217) 893-7700

1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200

1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

2300 S 1St St
Champaign, IL 61820-7661
Phone (217) 383-9400

3024 E Empire St
Bloomington, IL 61704-5402

516 W Madison St
Danville, IL 61832-5657

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355
  • Graham Hospital Association Hospital, Canton, IL, CCN 141356
  • Graham Hospital Association Hospital, Canton, IL, CCN 140001
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1346220522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "RADIOLOGY",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-3270",
            "fax_number": "217-383-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "MARTIN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036118212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180100700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00412389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.