Active NPI
Keith Roberts Runyan, M.D.
- Nephrology Physician
- St Pete Beach, FL
National Provider Identifier
1104801018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME62416
- Practice address
- 3305 W Maritana Dr
St Pete Beach, FL 33706 - Phone
- (813) 502-0529
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME62416 | FL | Primary |
Addresses
Primary practice location
3305 W Maritana Dr
St Pete Beach, FL 33706
Mailing address
3305 W Maritana Dr
St Pete Beach, FL 33706
Phone (813) 502-0529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME62416 | Other | FL | STATE LICENSE NUMBER |
| 262962300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith Runyan, MD | Nephrology | Past | Accepting new patients |
| Inphynet Contracting Services LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nephrology Physician
- St Petersburg, FL
- NPI 1902162290
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104801018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 W MARITANA DR",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "33706",
"telephone_number": "813-502-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 W MARITANA DR",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "33706",
"telephone_number": "813-502-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYAN",
"first_name": "KEITH",
"middle_name": "ROBERTS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME62416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "ME62416",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262962300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Pete Beach, FL
- John Henry Penny, D.D.S.
- Pinellas Regional Anesthesia Associates LLC
- Kristina R Potter-Martino, D.O.
- Audra Lina Radvil
- Michael I. Rauchway, M.D.
- Scarlett V Sammons, PHARMD
- Marcia Schultz, MPH, RD, LDN, CDCES
- Seaside Massage Therapy Center, Inc.
- Samantha Balansay Symes, PMHNP-BC
- TBTG Professionals, LLC.
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.