Active NPI
Leland K Krantz II, M.D.
- Internal Medicine Physician
- Idaho Falls, ID
National Provider Identifier
1588609903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M3620
- Practice address
- 2001 S Woodruff Ave
Suite #15
Idaho Falls, ID 83404-6374 - Phone
- (208) 522-7310
- Fax
- (208) 524-0559
- NPI assigned
- Jun 19, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M3620 | ID | Primary |
Addresses
Primary practice location
2001 S Woodruff Ave
Suite #15
Idaho Falls, ID 83404-6374
Mailing address
2001 S Woodruff Ave
Suite #15
Idaho Falls, ID 83404-6374
Phone (208) 522-7310
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010004088 | Other | ID | REGENCE BLUE SHIELD |
| MD1942 | Other | ID | IDAHO STATE NARC. # |
| 3620-2 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3620 | ID | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Current | Accepting new patients | |
| St Mark's Professional Services, LLC | Internal Medicine | Current | Accepting new patients |
Locations
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1912925629
ID
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1588609903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S WOODRUFF AVE",
"address_2": "SUITE #15",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046374",
"telephone_number": "208-522-7310",
"fax_number": "208-524-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S WOODRUFF AVE",
"address_2": "SUITE #15",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046374",
"telephone_number": "208-522-7310",
"fax_number": "208-524-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANTZ",
"first_name": "LELAND",
"middle_name": "K",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M3620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010004088",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE NARC. #",
"identifier": "MD1942",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3620-2",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.