Individual provider Active NPI

Donovan D Runyan, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1699752774
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2113 Issued in TX
Practice address
2555 Western Trails Blvd Ste 101
Austin, TX 78745-1574
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2113 TX Primary

Addresses

Primary practice location

2555 Western Trails Blvd Ste 101
Austin, TX 78745-1574

Mailing address

2555 Western Trails Blvd Ste 101
Austin, TX 78745-1574
Phone (888) 663-6331

Other names 1

  • Donovan D Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050912000928 TX Practitioner - Family Practice 7012940992 Reassigns benefits to 2 organizations
Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

2500 W William Cannon Dr
Suite 401
Austin, TX 78745-5290
Phone (888) 663-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2113TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Sep 20, 2023 Accepting new patients
One Medical Group of Texas, P.a. Family Medicine CurrentSince Nov 3, 2025 Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince Sep 20, 2023 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

2555 Western Trails Blvd
Ste 101
Austin, TX 78745
Phone (512) 892-6600

2555 Western Trails Blvd
Austin, TX 78745
Phone (512) 892-6600

2500 W William Cannon Dr
Ste 401
Austin, TX 78745

3001 Palm Way
Ste 134
Austin, TX 78758
Phone (512) 491-1095

1900 Aldrich St
Ste 150
Austin, TX 78723
Phone (512) 491-1095

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1699752774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 WESTERN TRAILS BLVD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451574",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 WESTERN TRAILS BLVD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451574",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "DONOVAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONOVAN",
            "last_name": "SMITH",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.