Kenneth Allan Runciman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46739 Issued in KY

Practice address

3940 Phillips Ave
Paducah, KY 42001-4648

Phone

(270) 564-8018

Fax

(270) 534-5622

NPI assigned

Mar 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/marshal-fc975078

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.

• Marshall County Hospital District

  • Family Medicine Physician
  • Benton, KY
  • NPI 1689778250

  Family Medicine, KY

  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY

  Medicare reassignment NPD
• Marshall County Hospital District

  • Rural Health Clinic/Center
  • Benton, KY
  • NPI 1962873109
  Care Compare group NPD
• Marshall County Hospital District

  • Critical Access Hospital
  • Benton, KY
  • NPI 1568528594
  Care Compare group NPD (past)
• Marshall County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Benton, KY
  • NPI 1790840056
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128

  Hospital

  Care Compare affiliation
• LHCG Xxiii, LLC

  • Home Health Agency
  • Benton, KY
  • NPI 1376845834
  Care Compare affiliation
• Marshall County Hospital District

  • Critical Access Hospital
  • Benton, KY
  • NPI 1568528594

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall County Hospital District 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall County Hospital Home Health Home health agency, Benton, KY, CCN 187161
• Marshall County Hospital Hospital, Benton, KY, CCN 181327
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1477979698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 PHILLIPS AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014648",
            "telephone_number": "270-564-8018",
            "fax_number": "270-534-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 PHILLIPS AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014648",
            "telephone_number": "270-564-8018",
            "fax_number": "270-534-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNCIMAN",
        "first_name": "KENNETH",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "46739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100358740",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reagon Rudulph
• Jaela Ruedel
• Gayle M Rufli, ARNP
• Tracy Lynn Rugg, LCSW
• Amanda Rule
• James M Rundles
• William L Russelburg
• Allyson Maree Russell, LPCC
• Amber Russell
• Kathryn S Russell, PTA

• All providers in Paducah, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.

Verify at the official NPI Registry.