Individual provider Active NPI

Craig Michael Rundbaken, DO

  • Pulmonary Disease Physician
  • Sun City West, AZ
National Provider Identifier
1720072903
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
3219 Issued in AZ
Practice address
14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798
Phone
(623) 975-0500
Fax
(623) 975-0705
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 3219 AZ Primary

Addresses

Primary practice location

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798

Mailing address

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798
Phone (623) 975-0500

Other identifiers 1

IdentifierTypeStateIssuer
391409MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000700 AZ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Other (Physician) 8022906601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Craig M Rundbaken DO PLLCGroup PAC ID 8628982741, 11 clinicians

Practice addresses (Care Compare)

14300 W Granite Valley Dr
Suite E23
Sun City West, AZ 85375-5798
Phone (623) 975-0500

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
82.89 of 100Reported as group
Quality
71.4
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3219AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Internal Medicine CurrentSince Jun 15, 2026 Accepting new patients
Craig M. Rundbaken, D.O. PLLC Pulmonary Disease CurrentSince Aug 1, 2003 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Sonoran Pulmonary and Critical Care PLLC Pulmonary Disease PastSince May 19, 2019 Accepting new patients
Nimbus Health Three PC Internal Medicine Past Accepting new patients
Sunrise Medical Management LLC Internal Medicine Past Accepting new patients
Womenzzz Sleep Health PLLC Sleep Medicine PastSince Jul 24, 2022 Accepting new patients

Locations

9515 W Camelback Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 322-7856

919 12th Pl
Ste 12
Prescott, AZ 86305
Phone (928) 227-1954

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594

5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

13830 W Camino del Sol
Ste 240
Sun City West, AZ 85375
Phone (623) 254-7375

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

13949 W Meeker Blvd
Ste D
Sun City West, AZ 85375
Phone (602) 584-3071

14300 W Granite Valley Dr
Ste E23
Sun City West, AZ 85375
Phone (623) 975-0500

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1720072903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E23",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-975-0500",
            "fax_number": "623-975-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E23",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-975-0500",
            "fax_number": "623-975-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDBAKEN",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.