Individual provider Active NPI

Richard Willis Runyan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Pocatello, ID
National Provider Identifier
1336482645
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M-14202 Issued in ID
Practice address
150 Vista Dr
Pocatello, ID 83201-5824
Phone
(208) 232-7246
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9169428-8905 UT
Pain Medicine (Anesthesiology) Physician 207LP2900X M-14202 ID Primary

Addresses

Primary practice location

150 Vista Dr
Pocatello, ID 83201-5824

Mailing address

3385 Potomac Way
Idaho Falls, ID 83404-4978

Other names 1

  • Rick Runyan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170510002420 UT Practitioner - Anesthesiology 9234456955 Reassigns benefits to 1 organization
I20180731000791 ID Practitioner - Pain Management 9234456955 Reassigns benefits to 4 organizations
I20241029000721 MT Practitioner - AnesthesiologyPractitioner - Pain Management 9234456955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

3385 Potomac Way
Idaho Falls, ID 83404-4978
Phone (208) 522-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-14202IDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corp CurrentSince Oct 1, 2024 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Steele Memorial Medical Center CurrentSince Jul 1, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2014 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Steele Memorial Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Mountain View Hospital LLC CurrentSince Aug 1, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2014 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Oct 1, 2024 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients

Locations

1425 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

1957 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-1100

3385 Potomac Way
Idaho Falls, ID 83404
Phone (208) 522-7246

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

150 Vista Dr
Pocatello, ID 83201
Phone (208) 232-2146

380 Walker Dr
Ste 100
Rexburg, ID 83440

380 Walker Dr
Rexburg, ID 83440
Phone (208) 356-9559

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: rrunyan280299@ahs.direct-ci.com
  • Direct secure messaging: rrunyan296832@wm.providencedirect.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1fec57aa-48c4-4598-a98f-f72022b4a4cc/

Organizations & group practices 12

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 7

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1336482645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VISTA DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015824",
            "telephone_number": "208-232-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "RICHARD",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "9169428-8905",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ID",
            "license": "M-14202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "RUNYAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.