Individual provider Active NPI

David Runana

  • Primary Care Nurse Practitioner
  • Brownsburg, IN
National Provider Identifier
1700311529
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28160916A Issued in IN
Practice address
10761 Manor Dr
Brownsburg, IN 46112-7410
Phone
(317) 515-9599
NPI assigned
Apr 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28160916A IN Primary

Addresses

Primary practice location

10761 Manor Dr
Brownsburg, IN 46112-7410

Mailing address

10761 Manor Dr
Brownsburg, IN 46112-7410
Phone (317) 515-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928000621 IN Practitioner - Nurse Practitioner 1658645718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In Charge Medical Professionals, LLCGroup PAC ID 9436474178, 10 clinicians

Practice addresses (Care Compare)

8060 Knue Rd
Indianapolis, IN 46250-1942
Phone (317) 813-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28160916AINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Charge Medical Professionals LLC CurrentSince Aug 22, 2017 Accepting new patients
Impact Physician Group, LLC CurrentSince Apr 1, 2018 Accepting new patients
Impact Physician Group, Indiana LLC CurrentSince Nov 3, 2018 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

1912 S Park Ave
Alexandria, IN 46001
Phone (765) 724-4478

1821 Lindberg Rd
Anderson, IN 46012
Phone (317) 876-9955

501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403

13219 N Meridian St
Carmel, IN 46032
Phone (765) 751-5253

1700 W 10th St
Indianapolis, IN 46222
Phone (317) 397-1718

8060 Knue Rd
Indianapolis, IN 46250
Phone (317) 782-6669

4141 Shore Dr
Indianapolis, IN 46254
Phone (317) 329-2000

3017 Valley Farms Rd
Indianapolis, IN 46214
Phone (317) 293-2555

7145 E 21st St
Indianapolis, IN 46219
Phone (317) 356-0977

4807 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 243-7727

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1121 E Lasalle Ave
South Bend, IN 46617
Phone (574) 287-6501

4600 W Washington St
South Bend, IN 46619
Phone (574) 282-1294

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": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1700311529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10761 MANOR DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127410",
            "telephone_number": "317-515-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10761 MANOR DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127410",
            "telephone_number": "317-515-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNANA",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28160916A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.