ELLIOT RUNGE DO
NPI 1043779325
Internal Medicine - Critical Care Medicine in Nellis Afb, NV

Q: What is Elliot Runge's NPI number?

The NPI number for Elliot Runge is 1043779325. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Elliot Runge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Elliot Runge was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Sep 6, 2022, Sep 1, 2022 and 2 more (5 updates tracked since 2019).

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About Elliot Runge Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIOT RUNGE DO (NPI 1043779325) is an individual critical care medicine provider in Nellis Afb, Nevada, licensed in Nevada (DO3911) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043779325

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameELLIOT RUNGECredential: DO

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273

Phone(702) 653-2273

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 9, 20265 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1043779325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in NV · DO3911

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0102206478 (VA)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License DO3911 (NV)

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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Secondary Practice Locations 3

Location 13001 Saint Rose PkwyHenderson, NV 89052-3839 · Phone (702) 616-5615 · Fax (702) 616-5120

Location 21707 W Charleston Blvd Ste 270Las Vegas, NV 89102-2326 · Phone (702) 671-5060 · Fax (702) 671-5198

Location 38280 W Warm Springs RdLas Vegas, NV 89113-3612 · Phone (702) 492-8614 · Fax (702) 492-8163

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elliot Runge Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052725710

PECOS Enrollment IDI20251124003140

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number290007

Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier13 claims13 services$922.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA A KOENIGSBERGER MD

Integrative Medicine