Active NPI
Martin Kuntz III, MD
- Diagnostic Radiology Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036118212
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180100700 | Medicaid | MN | |
| P00412389 | Other | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036118212 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Christie Clinic, PLLC | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Graham Hospital Association | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Elmwood, IL
- NPI 1093288797
-
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
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 CenterCarle Health Care IncorporatedGraham Hospital AssociationCarle West Physician Group IncHoopeston Community Memorial HospitalRichland Memorial Hospital Inc
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
- Carle Richland Memorial Hospital
- Graham Hospital Association
- Graham Hospital Association
- Carle Bromenn Medical Center
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.