Active NPI
Mark H Runkle, D.P.M
- Podiatrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000797
- Practice address
- 7855 S Emerson Ave Ste T
Indianapolis, IN 46237-8669 - Phone
- (317) 859-2905
- Fax
- (317) 859-2909
- NPI assigned
- Jul 15, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000797 | IN | Primary |
Addresses
Primary practice location
7855 S Emerson Ave Ste T
Indianapolis, IN 46237-8669
Mailing address
7855 S Emerson Ave Ste T
Indianapolis, IN 46237-8669
Phone (317) 859-2905
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4743630001 | Other | IN | DMERC |
| 200035220 | Medicaid | IN | |
| DN3463 | Other | IN | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7855 S Emerson Ave
Suite T
Indianapolis, IN 46237-8669
Phone (317) 859-2905
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 397 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Grove Foot & Ankle Care, P.C. | Podiatrist | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7855 S Emerson Ave
Ste T
Indianapolis, IN 46237
Phone (317) 300-0106
1250 E County Line Rd
Ste 6
Indianapolis, IN 46227
Phone (317) 859-2905
Interoperability endpoints
- drmrunkle@indysouthfootandankle.medentdirect.com
- https://api.platform.athenahealth.com/12470/brand/1/csg/1/fhir/r4
- mrunkle10683@direct.franciscanalliance.org
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.
-
- Podiatric Clinic/Center
- Indianapolis, IN
- NPI 1073793816
Podiatrist
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1144246687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 S EMERSON AVE STE T",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378669",
"telephone_number": "317-859-2905",
"fax_number": "317-859-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 S EMERSON AVE STE T",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378669",
"telephone_number": "317-859-2905",
"fax_number": "317-859-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNKLE",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4743630001",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200035220",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DN3463",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.