Active NPI
Kelly Runge
- Physical Therapist
- Kihei, HI
National Provider Identifier
1528442639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-4155
- Practice address
- 221 Piikea Ave
Ste D
Kihei, HI 96753-8268 - Phone
- (808) 879-5211
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-4155 | HI | Primary |
Addresses
Primary practice location
221 Piikea Ave
Ste D
Kihei, HI 96753-8268
Mailing address
221 Piikea Ave
Ste D
Kihei, HI 96753-8268
Phone (808) 879-5211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.93 of 100
- Quality
- 70.26
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 87.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-4155 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Medical Group Inc | Current | Accepting new patients |
Locations
2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Wailuku, HI
- NPI 1215963970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1528442639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PIIKEA AVE",
"address_2": "STE D",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538268",
"telephone_number": "808-879-5211",
"fax_number": "808-879-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 PIIKEA AVE",
"address_2": "STE D",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538268",
"telephone_number": "808-879-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNGE",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-4155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.