Active NPI
Michael Russell
- Surgery Physician
- Spokane, WA
National Provider Identifier
1003374265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61451324
- Practice address
- 217 W Cataldo Ave FL 3
Spokane, WA 99201-2217 - Phone
- (509) 747-6194
- Fax
- (509) 227-7070
- NPI assigned
- Mar 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD61451324 | WA | Primary |
Addresses
Primary practice location
217 W Cataldo Ave FL 3
Spokane, WA 99201-2217
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Other practice location 1
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Phone (312) 942-7100
Other practice location 2
747 Broadway Heath Building 10th floor
Seattle, WA 98122
Phone (206) 251-4253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rush Medical College of Rush University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
217 W Cataldo Ave
FL 3
Spokane, WA 99201-2217
Phone (509) 747-6194
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Providence Holy Family Hospital
- Providence Mount Carmel Hospital
- Kadlec Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.26 of 100
- Quality
- 84.3
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
747 Broadway
Bldg 10TH
Seattle, WA 98122
Phone (206) 215-4253
217 W Cataldo Ave
Fl 3
Spokane, WA 99201
Phone (509) 624-2326
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1003374265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CATALDO AVE FL 3",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012217",
"telephone_number": "509-747-6194",
"fax_number": "509-227-7070"
}
],
"practiceLocations": [
{
"address_1": "600 S Paulina St Ste 403",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123806",
"country_code": "US",
"telephone_number": "312-942-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 Broadway Heath Building 10th floor",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98122",
"country_code": "US",
"telephone_number": "206-251-4253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61451324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.