Individual provider Active NPI

James A Runke, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1952425035
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36-072041 Issued in IL
Practice address
180 N Michigan Ave
Suite 1605
Chicago, IL 60601-7478
Phone
(312) 201-1234
Fax
(312) 201-1202
NPI assigned
Mar 16, 2007
Last updated
Oct 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36-072041 IL Primary

Addresses

Primary practice location

180 N Michigan Ave
Suite 1605
Chicago, IL 60601-7478

Mailing address

180 N Michigan Ave
Suite 1605
Chicago, IL 60601-7478
Phone (312) 201-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20091030000043 IL Practitioner - Internal Medicine 6800933441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Avenue Immediate CareGroup PAC ID 9436296076, 4 clinicians

Practice addresses (Care Compare)

180 N Michigan Ave
Suite 1605
Chicago, IL 60601-7478
Phone (312) 201-1234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-072041ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Avenue Primary Care, S.C. Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Michigan Avenue ENT P.C. CurrentSince Jan 26, 2019 Accepting new patients
Michigan Avenue Immediate Care CurrentSince Oct 30, 2009 Accepting new patients

Locations

180 N Michigan Ave
Ste 1605
Chicago, IL 60601
Phone (312) 201-1234

180 N Michigan Ave
Ste 1607
Chicago, IL 60601

180 N Michigan Ave
Ste 1720
Chicago, IL 60601
Phone (312) 994-3000

Organizations & group practices 4

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1952425035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017478",
            "telephone_number": "312-201-1234",
            "fax_number": "312-201-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017478",
            "telephone_number": "312-201-1234",
            "fax_number": "312-201-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKE",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36-072041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.