NPIMap

Individual provider Active NPI

Marschall Stevens Runge, MD

  • Cardiovascular Disease Physician
  • Ann Arbor, MI
National Provider Identifier
1841351970
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301106805 Issued in MI
Practice address
1500 East Medical Center Dr
B1 Floor University Hospital Recp F
Ann Arbor, MI 48109
Phone
(734) 647-7321
NPI assigned
Dec 13, 2006
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301106805 MI
Cardiovascular Disease Physician 207RC0000X 200001267 NC
Cardiovascular Disease Physician 207RC0000X 4301106805 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
B1 Floor University Hospital Recp F
Ann Arbor, MI 48109

Mailing address

3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Other identifiers 1

IdentifierTypeStateIssuer
89127FRMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151203003003 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840108593 Reassigns benefits to 1 organization
I20240911001955 TX Practitioner - Internal Medicine 0840108593 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200001267NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 26, 2024 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 26, 2024 Accepting new patients
Regents of the University of Michigan CurrentSince Nov 2, 2015 Accepting new patients
Regents of the University of Michigan Internal Medicine CurrentSince Nov 2, 2015 Accepting new patients
University of North Carolina Hospitals at Chapel Hill PastSince Dec 1, 2006 Accepting new patients
University Internal Medicine at Chapel Hill North Medical Center Internal Medicine Past Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
University of North Carolina at Chapel Hill Internal Medicine Past Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

1500 E Medical Center Dr
#B1
Ann Arbor, MI 48109
Phone (734) 936-4500

1500 E Medical Center Dr
Fl Univ
Ann Arbor, MI 48109

3621 S State St
#700
Ann Arbor, MI 48108

1051 N Canton Center Rd
Canton, MI 48187
Phone (734) 647-5670

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Michigan HealthAnn Arbor, MI, CCN 230046 Hospital Corporate Officer
Corporate Director
W-2 Managing Employee		 Mar 1, 2015
Mar 3, 2017
Mar 3, 2017
University of Michigan HealthAnn Arbor, MI, CCN 23S046 Hospital Corporate Officer
Corporate Director
W-2 Managing Employee		 Mar 1, 2015
Mar 3, 2017
Mar 3, 2017
University of Michigan HealthAnn Arbor, MI, CCN 237011 Home health agency Corporate Officer
Corporate Director
W-2 Managing Employee		 Mar 21, 2015
Mar 21, 2015
Mar 21, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1841351970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE STREET",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "B1 FLOOR UNIVERSITY HOSPITAL RECP F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48109",
            "telephone_number": "734-647-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "MARSCHALL",
        "middle_name": "STEVENS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106805",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200001267",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301106805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127FR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.