Active NPI
Nicholas Melvin Runeare, MD
- Internal Medicine Physician
- Oswego, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 304547
- Practice address
- 110 W 6TH St
Oswego, NY 13126-2598 - Phone
- (315) 349-5511
- NPI assigned
- Apr 15, 2017
- Last updated
- Jun 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 304547 | NY | Primary |
Addresses
Primary practice location
110 W 6TH St
Oswego, NY 13126-2598
Mailing address
110 W 6TH St
Oswego, NY 13126-2598
Phone (315) 349-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511
111 S 11TH St
1St FLR Bodine Ctr
Philadelphia, PA 19107-5097
Phone (215) 955-6702
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.55 of 100
- Quality
- 83.57
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304547 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare, Inc | Internal Medicine | Current | Accepting new patients |
| Jefferson University Physicians | Internal Medicine | Current | Accepting new patients |
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Oswego Hospital | Current | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
111 S 11th St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-6702
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Internal Medicine
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
Internal Medicine
-
dba Jefferson Community Physicians - Neurosurgery
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1508390642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 6TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262598",
"telephone_number": "315-349-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 6TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262598",
"telephone_number": "315-349-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNEARE",
"first_name": "NICHOLAS",
"middle_name": "MELVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-15",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "304547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.