Individual provider Active NPI

Matthew L Runyan, M.D.

  • Psychiatry Physician
  • Fort Wayne, IN
National Provider Identifier
1174802649
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01071590A Issued in IN
Practice address
116 E Berry St Ste 1601
Fort Wayne, IN 46802-2486
Phone
(260) 433-1651
Fax
(866) 305-9859
NPI assigned
Aug 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11016021 IN
Psychiatry Physician 2084P0800X 01071590A IN Primary

Addresses

Primary practice location

116 E Berry St Ste 1601
Fort Wayne, IN 46802-2486

Mailing address

1800 Hazelwood Ave # 5719
Fort Wayne, IN 46805-7514
Phone (260) 433-1651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3926 New Vision Dr
Fort Wayne, IN 46845-1712

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071590AINMDPsychiatry Physician
11016021INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System, Inc. CurrentSince Jan 20, 2015 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Intrepid Insights, LLC Psychiatry Current Accepting new patients

Locations

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3926 New Vision Dr
Ste 1
Fort Wayne, IN 46845

1818 Carew St
Ste 230
Fort Wayne, IN 46805
Phone (260) 373-8000

116 E Berry St
Ste 1601
Fort Wayne, IN 46802
Phone (260) 433-1651

1720 Beacon St
Fort Wayne, IN 46805
Phone (260) 373-7500

3926 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

Interoperability endpoints

  • Direct secure messaging: mrunyan77994@direct.parkviewexchange.com

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1174802649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HAZELWOOD AVE # 5719",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468057514",
            "telephone_number": "260-433-1651",
            "fax_number": "866-305-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E BERRY ST STE 1601",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022486",
            "telephone_number": "260-433-1651",
            "fax_number": "866-305-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "11016021",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01071590A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.