Individual provider Active NPI

Evelyn Rosario Runer, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairless Hills, PA
National Provider Identifier
1306936620
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD064046-L Issued in PA
Practice address
333 N. Oxford Valley Rd.
Suite 404
Fairless Hills, PA 19030
Phone
(215) 741-4016
Fax
(215) 741-4019
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD064046L PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD064046-L PA Primary

Addresses

Primary practice location

333 N. Oxford Valley Rd.
Suite 404
Fairless Hills, PA 19030

Mailing address

4634 Hills and Dales Rd NW
Canton, OH 44708-1510
Phone (267) 594-4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708002120 OH Practitioner - Endocrinology 2961404744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Icahn School of Medicine at Mount Sinai, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Practice addresses (Care Compare)

6046 Whipple Ave NW
North Canton, OH 44720-7616
Phone (330) 447-6333

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Twin City Medical Center Hospital, Dennison, OH, CCN 361302
  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as individual
Quality
84.54
Improvement activities
40
Cost
77.84

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064046-LPAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physician Professional Corporation Endocrinology, Diabetes & Metabolism CurrentSince Dec 31, 2024 Accepting new patients
Northeast Ohio Endocrinology Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2021 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Chemung Medical Services PC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

4634 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 477-0255

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

Interoperability endpoints

  • Direct secure messaging: evelynr@neoe.medentdirect.com

Organizations & group practices 4

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 5

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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1306936620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081510",
            "telephone_number": "267-594-4352",
            "fax_number": "267-594-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. OXFORD VALLEY RD.",
            "address_2": "SUITE 404",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-741-4016",
            "fax_number": "215-741-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNER",
        "first_name": "EVELYN",
        "middle_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD064046L",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD064046-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.