Individual provider Active NPI

Jon Alan Muntz, M.D.

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1447309125
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
085798 Issued in NY
Practice address
111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone
(716) 836-4646
Fax
(716) 672-8060
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 085798 NY Primary

Addresses

Primary practice location

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178

Mailing address

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone (716) 836-4646

Other identifiers 8

IdentifierTypeStateIssuer
000511785004OtherNYBC FOR N. CHAUT RADIOL
CM1926OtherNYRAILROAD MEDICARE
01246304MedicaidNY
161435431OtherNYFIDELIS
000267043002OtherNYUNIVERA
000511785003OtherNYBLUE CROSS
00026704301OtherNYUNIV FOR N. CHAUT RAD
5609140OtherNYINDEPENDENT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040416000102 NY Practitioner - Diagnostic Radiology 5698760080 Reassigns benefits to 3 organizations
I20220511001540 FL Practitioner - Diagnostic Radiology 5698760080 Reassigns benefits to 1 organization
I20230703001142 NC Practitioner - Diagnostic Radiology 5698760080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Healthcare Medical Group IncGroup PAC ID 9436159712, shared by 4 NPIs, 222 clinicians

Practice addresses (Care Compare)

Dunkirk, NY 14048
Phone (828) 580-5000

2134 14TH Ave Cir NW
Hickory, NC 28601-7357
Phone (828) 580-7048

4299 Island Cir
Apt 4
Fort Myers, FL 33919-4435
Phone (828) 580-1235

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua Radiology, PC CurrentSince Apr 23, 1993 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jul 9, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince May 20, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince May 20, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Northern Chautauqua Radiology LLC Past Accepting new patients
University Radiology at Buffalo, Inc. Diagnostic Radiology Past Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2134 14th Avenue Cir NW
Hickory, NC 28601
Phone (828) 580-2129

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

53 E Main St
Fredonia, NY 14063

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

Interoperability endpoints

  • Direct secure messaging: jmuntz890779@direct.unc.nchie.net

Organizations & group practices 9

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 5

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1447309125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213178",
            "telephone_number": "716-836-4646",
            "fax_number": "716-672-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213178",
            "telephone_number": "716-836-4646",
            "fax_number": "716-672-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTZ",
        "first_name": "JON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "085798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FOR N. CHAUT RADIOL",
            "identifier": "000511785004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM1926",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "161435431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "000267043002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000511785003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIV FOR N. CHAUT RAD",
            "identifier": "00026704301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5609140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.