NPIMap

Individual provider Active NPI

Robert S Runyon, MD

  • Orthopaedic Surgery Physician
  • Boston, MA
National Provider Identifier
1013446137
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
291160 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 643-7972
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 24570 NH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 291160 MA
Orthopaedic Surgery Physician 207X00000X 291160 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621

Other practice location 1

16 Pelham Rd Ste 1
Salem, NH 03079-3077
Phone (603) 898-2244

Other practice location 2

323 Lowell St
Andover, MA 01810-4659
Phone (978) 794-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220908002434 MA Practitioner - Orthopedic Surgery 3577835313 Reassigns benefits to 5 organizations
I20230908001527 NH Practitioner - Orthopedic Surgery 3577835313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

16 Pelham Rd
Suite 1
Salem, NH 03079-3077
Phone (603) 898-2244

62 Brown St
Suite 303
Haverhill, MA 01830-6790
Phone (978) 794-1946

Hospital & facility affiliations

  • Pathways Healthcare LLC Home health agency, Londonderry, NH, CCN 307095
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement56
Knee replacement29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291160MAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Orthopaedic Surgery CurrentSince Jul 28, 2022 Accepting new patients
Eone Medical Subsidiary PLLC Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
The General Hospital Corporation CurrentSince Jul 28, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

62 Brown St
Ste 303
Haverhill, MA 01830
Phone (978) 556-9060

575 Turnpike St
Ste 11
North Andover, MA 01845
Phone (978) 327-6561

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 898-2244

Interoperability endpoints

  • Direct secure messaging: robert.runyon.2@26085.direct.athenahealth.com

Organizations & group practices 8

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 7

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1013446137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-643-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pelham Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793077",
            "country_code": "US",
            "telephone_number": "603-898-2244",
            "fax_number": "603-898-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Lowell St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018104659",
            "country_code": "US",
            "telephone_number": "978-794-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "24570",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "291160",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "291160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.