KEITH V. RUNDLE M.D., INC.
NPI 1962426304
Ophthalmology in Orange, CA

Q: What is Keith V. Rundle M.D., Inc.'s NPI number?

The NPI number for Keith V. Rundle M.D., Inc. is 1962426304. It was assigned to this organization in the NPPES registry on July 27, 2006.

Q: What is Keith V. Rundle M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since July 27, 2006

1031 W CHAPMAN AVE STE 203, ORANGE, CA 92868(714) 558-2822(714) 835-3726 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Keith V. Rundle M.d., Inc. NPPES

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

KEITH V. RUNDLE M.D., INC. (NPI 1962426304) is a healthcare organization registered as an ophthalmology in Orange, California and active in the NPI registry since July 2006. The organization lists Keith Vincent Rundle, Owner, as its authorized official.

NPPES Registry Identity

NPI1962426304

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameKEITH V. RUNDLE M.D., INC.

Location Address1031 W CHAPMAN AVE STE 203Orange, CA 92868-2872

Mailing Address1031 W Chapman Ave, Suite 203Orange, CA 92868-2872 · (714) 558-2822 · Fax (714) 835-3726

Phone(714) 558-2822

Fax(714) 835-3726

Organization SubpartNo

Authorized OfficialKeith Vincent RundleOwner · (714) 558-2822

Enumeration DateJuly 27, 2006

Last NPPES UpdateJanuary 29, 2015

✔ NPI 1962426304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G97929

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1031 W CHAPMAN AVE STE 203, Orange, CA 92868

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Other Identifiers 4

Medicare PINWG79729FCA

Medicare PINW21418CA

Medicare UPING46976CA

Medicaid00G797290CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith V. Rundle M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Keith V. Rundle M.D., Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Keith Rundle, M.D.

Ophthalmology

NPI 1245267285

1031 W CHAPMAN AVE STE 203
Orange, CA 92868

(714) 221-2020

✔ PECOS✔ Accepts MedicareSame address

Mary Cote, M.D.

Ophthalmology

NPI 1114985892

17742 BEACH BLVD SUITE 305
Huntington Beach, CA 92647

(714) 596-4488

✔ PECOS9.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keith V. Rundle M.D., Inc.'s NPI number?

The NPI number for Keith V. Rundle M.D., Inc. is 1962426304. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Keith V. Rundle M.D., Inc. located?

Keith V. Rundle M.D., Inc. is located at 1031 W Chapman Ave Ste 203, Orange, CA 92868. The listed phone number is (714) 558-2822.

What is Keith V. Rundle M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Keith V. Rundle M.D., Inc. enrolled in Medicare?

Yes. Keith V. Rundle M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keith V. Rundle M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Keith V. Rundle M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keith V. Rundle M.D., Inc. was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.