Active NPI
Richard Willis Runyan, M.D.
- Pain Medicine (Anesthesiology) Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- M-14202
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Washington School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-14202 | ID | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corp | Current | Accepting new patients | |
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | 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
- rrunyan280299@ahs.direct-ci.com
- rrunyan296832@wm.providencedirect.org
- 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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba Bitterroot Health - Daly Hospital
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
dba North Canyon Medical Center
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba North Canyon Imaging Center Twin Falls
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
-
- Medicare Defined Swing Bed Hospital Unit
- Salmon, ID
- NPI 1992913479
-
dba Bitterroot Health-Dermatology
- Dermatology Physician
- Hamilton, MT
- NPI 1942854757
-
dba Bitterroot Health - Nephrology
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
dba University of Utah Hospital Women's and Children's Specialty Services
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
- NPI 1548665417
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Enhabit Home Health of Eastern Idaho
- Home Health Agency
- Idaho Falls, ID
- NPI 1700167400
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
-
dba Bitterroot Health - Daly Hospital
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.