Active NPI
Nema Senol Runyan, M.D.
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1619953171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56649
- Practice address
- 2310 E Brown Rd
Mesa, AZ 85213-5226 - Phone
- (480) 649-9000
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME79973 | FL | |
| Internal Medicine Physician | 207R00000X | 56649 | AZ | Primary |
Addresses
Primary practice location
2310 E Brown Rd
Mesa, AZ 85213-5226
Mailing address
2310 E Brown Rd
Mesa, AZ 85213-5226
Phone (480) 649-9000
Other practice location 1
9124 E Main St Ste 20-21
Mesa, AZ 85207-8700
Phone (480) 295-8070
Other practice location 2
6499 38th Ave N
Suite C-1
St Petersburg, FL 33710
Phone (727) 345-3908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263394900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 E Brown Rd
Mesa, AZ 85213-5226
Phone (480) 649-9000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56649 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Road Family Medicine, PLLC | Current | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Internal Medicine | Past | Accepting new patients |
| Banner-University Medical Group | Family Medicine | Past | Accepting new patients |
| Iora Health, LLC | Internal Medicine | Past | Accepting new patients |
| Keith Runyan, MD | Past | Accepting new patients |
Locations
2310 E Brown Rd
Mesa, AZ 85213
Phone (480) 649-9000
Interoperability endpoints
- nema.runyan.p1@direct.brfmvmed.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/CDACDD
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Preferred Provider Organization
- Mesa, AZ
- NPI 1518081066
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
-
- Nephrology Physician
- St Petersburg, FL
- NPI 1902162290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1619953171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852135226",
"telephone_number": "480-649-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852135226",
"telephone_number": "480-649-9000"
}
],
"practiceLocations": [
{
"address_1": "9124 E Main St Ste 20-21",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852078700",
"country_code": "US",
"telephone_number": "480-295-8070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6499 38th Ave N",
"address_2": "Suite C-1",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "33710",
"country_code": "US",
"telephone_number": "727-345-3908",
"fax_number": "727-345-4994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUNYAN",
"first_name": "NEMA",
"middle_name": "SENOL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2024-05-20",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME79973",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "56649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263394900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.