Individual provider Active NPI

Kennan Thomas Runte, DPM

  • Podiatrist
  • Grass Valley, CA
National Provider Identifier
1134196751
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E37870 Issued in CA
Practice address
123 Margaret Lane
Ste B-1
Grass Valley, CA 95945
Phone
(530) 477-7200
Fax
(530) 477-1246
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E37870 CA Primary

Addresses

Primary practice location

123 Margaret Lane
Ste B-1
Grass Valley, CA 95945

Mailing address

123 Margaret Lane
Ste B-1
Grass Valley, CA 95945
Phone (530) 477-7200

Other identifiers 2

IdentifierTypeStateIssuer
E38771MedicaidCA
ZZZ06288ZOtherBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000966 CA Practitioner - Podiatry 0446224794 Reassigns benefits to 2 organizations
Practice locations: Auburn, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothill Podiatry Clinic of Grass Valley IncGroup PAC ID 4082688437, 2 clinicians

Practice addresses (Care Compare)

1350 E Main St
Grass Valley, CA 95945-5208
Phone (530) 477-8545

152 Catherine LN
Suite F
Grass Valley, CA 95945-5756
Phone (530) 477-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.76 of 100Reported as individual
Quality
87.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue258
Removal of nail tissue863
Removal or shaving of skin growth705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E37870CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Podiatry Clinic of Grass Valley Inc Podiatrist CurrentSince Apr 1, 2003 Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Oct 22, 2025 Accepting new patients
Grass Valley Surgery Center, LLC PastSince Nov 1, 2004 Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

152 Catherine Ln
Ste F
Grass Valley, CA 95945
Phone (530) 477-7200

123 Margaret Ln
Ste A1
Grass Valley, CA 95945
Phone (530) 477-7200

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDFIBA/Endpoint/BDFIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 3

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 1

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134196751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MARGARET LANE",
            "address_2": "STE B-1",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-477-7200",
            "fax_number": "530-477-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARGARET LANE",
            "address_2": "STE B-1",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-477-7200",
            "fax_number": "530-477-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNTE",
        "first_name": "KENNAN",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E37870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E38771",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "ZZZ06288Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.