Individual provider Active NPI

Stephen L Runde, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1780644286
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22624 Issued in IA
Practice address
5264 Council St NE
Cedar Rapids, IA 52402-2471
Phone
(319) 221-8444
Fax
(319) 221-8589
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 22624 IA Primary

Addresses

Primary practice location

5264 Council St NE
Cedar Rapids, IA 52402-2471

Mailing address

PO Box 786
Cedar Rapids, IA 52406-0786
Phone (319) 369-4505

Other identifiers 2

IdentifierTypeStateIssuer
2203679MedicaidIA
3203679MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20051018000185 IA Practitioner - Family Practice 2860418076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

225 Welter Dr
Monticello, IA 52310-4722
Phone (319) 465-5937

5264 Council St NE
100 Mercycare North
Cedar Rapids, IA 52402-2477
Phone (319) 221-8444

788 8TH Ave SE
204 Mercy Employee Health Center
Cedard Rapids, IA 52401-2107
Phone (319) 398-6342

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc Family Medicine Current Accepting new patients
Mercy Physician Associates Inc Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Feb 1, 1993 Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Feb 1, 1993 Accepting new patients
Mercy Physician Associates, Inc Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
Abbe Management Corp PastSince Jul 1, 1994 Accepting new patients
Mercy Physician Associates, Inc Family Medicine Past Accepting new patients

Locations

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

5264 Council St NE
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

225 Welter Dr
Monticello, IA 52310
Phone (319) 398-6020

619 S Main St
Monticello, IA 52310
Phone (319) 465-5937

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 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1780644286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524060786",
            "telephone_number": "319-369-4505",
            "fax_number": "319-369-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 COUNCIL ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022471",
            "telephone_number": "319-221-8444",
            "fax_number": "319-221-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDE",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "22624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203679",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3203679",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.