MR. KEVIN R RUNGE PA
NPI 1336135680
Physician Assistant - Medical in Burr Ridge, IL

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527(888) 220-6432(630) 654-4253 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin R Runge Pa NPPES

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

MR. KEVIN R RUNGE PA (NPI 1336135680) is an individual medical provider in Burr Ridge, Illinois, licensed in Illinois (085-002433) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336135680
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEVIN R RUNGECredential: PA
Location Address901 MCCLINTOCK DR, SUITE 202Burr Ridge, IL 60527-0872
Mailing Address901 Mcclintock Dr, Suite 202Burr Ridge, IL 60527-0872 · (888) 220-6432 · Fax (630) 654-4253
Fax(630) 654-4253
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 22, 2005
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
NPI 1336135680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085-002433
901 MCCLINTOCK DR, Burr Ridge, IL 60527

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

Mr. Kevin R Runge Pa 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 ID4486671500
PECOS Enrollment IDI20251007003538, I20251124003774
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.

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.

Physician Assistant
901 MCCLINTOCK DR, SUITE 202
BURR RIDGE, IL 60527
Physician Assistant (Medical)
901 MCCLINTOCK DR, SUITE 202
BURR RIDGE, IL 60527
Physician Assistant
901 MCCLINTOCK DR, SUITE 202
BURR RIDGE, IL 60527
Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR, SUITE 201
BURR RIDGE, IL 60527
Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR, SUITE 201
BURR RIDGE, IL 60527
Pharmacy (Community/Retail Pharmacy)
901 MCCLINTOCK DR, SUITE 104
BURR RIDGE, IL 60527
Family Medicine
901 MCCLINTOCK DR, SUITE 110
BURR RIDGE, IL 60527
Internal Medicine (Infectious Disease)
901 MCCLINTOCK DR
BURR RIDGE, IL 60527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Runge's NPI number?

The NPI number for Kevin Runge is 1336135680. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Kevin Runge located?

Kevin Runge practices at 901 Mcclintock Dr Suite 202, Burr Ridge, IL 60527. The listed phone number is (888) 220-6432.

What is Kevin Runge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Runge enrolled in Medicare?

Yes. Kevin Runge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Runge was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.