NICOLE KYOKO RUNKLE MD - NPI 1043834252 - Family Medicine in Chicago, IL

Q: What is Nicole Runkle's NPI number?

The NPI number for Nicole Runkle is 1043834252. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Q: What is Nicole Runkle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Runkle was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

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About Nicole Kyoko Runkle Md NPPES

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

NICOLE KYOKO RUNKLE MD (NPI 1043834252) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.162134) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043834252

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE KYOKO RUNKLECredential: MD

Location Address4747 N KEDZIE AVEChicago, IL 60625-4420

Mailing Address4747 N Kedzie AveChicago, IL 60625-4420 · (312) 666-3494

Phone(312) 666-3494

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 3, 2020

Last NPPES UpdateMay 31, 20232 updates tracked since enumeration

NPPES CertifiedMay 31, 2023

✔ NPI 1043834252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.162134

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4747 N KEDZIE AVE, Chicago, IL 60625

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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

Nicole Kyoko Runkle Md 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 ID1355797820

PECOS Enrollment IDI20231020000344

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 11

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

KAREN SUSAN HAVERKAMP MD

Pediatrics