Active NPI
Matthew L Runyan, M.D.
- Psychiatry Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01071590A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01071590A | IN | MD | Psychiatry Physician |
| 11016021 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System, Inc. | Current | 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
- 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.
-
- Psychiatry Physician
- Fort Wayne, IN
- NPI 1326981614
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.