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MATTHEW THOMAS KUNTZMAN MD
NPI 1336992510
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 08, 2024PECOS Enrolled
4201 SAINT ANTOINE ST STE 5E, DETROIT, MI 48201(313) 577-0804(313) 577-8555 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Thomas Kuntzman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW THOMAS KUNTZMAN MD (NPI 1336992510) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336992510
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW THOMAS KUNTZMANCredential: MD
Location Address4201 SAINT ANTOINE ST STE 5EDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 5eDetroit, MI 48201-2153 · (313) 577-0804 · Fax (313) 577-8555
Phone(313) 577-0804
Fax(313) 577-8555
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1336992510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST STE 5E, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Thomas Kuntzman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Kuntzman's NPI number?

The NPI number for Matthew Kuntzman is 1336992510. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Matthew Kuntzman located?

Matthew Kuntzman practices at 4201 Saint Antoine St Ste 5E, Detroit, MI 48201. The listed phone number is (313) 577-0804.

What is Matthew Kuntzman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Kuntzman enrolled in Medicare?

Yes. Matthew Kuntzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Kuntzman was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.