Individual provider Active NPI

John Russomanno, MD

  • Pulmonary Disease Physician
  • Hartford, CT
National Provider Identifier
1023112596
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
031537 Issued in CT
Practice address
85 Seymour St
Suite 923
Hartford, CT 06106-5501
Phone
(860) 247-1876
Fax
(860) 520-1379
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 031537 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 923
Hartford, CT 06106-5501

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3480

Other identifiers 1

IdentifierTypeStateIssuer
00131537500MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000179 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3476459090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

533 Cottage Grove Rd
Bloomfield, CT 06002-3155
Phone (860) 258-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Oct 30, 2018 Accepting new patients
Starling Physicians, PLLC Pulmonary Disease CurrentSince Jul 1, 1996 Accepting new patients
Starling Physicians PLLC CurrentSince Jul 1, 1996 Accepting new patients
Hartford Hospital CurrentSince Oct 30, 2018 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Ste 206
Avon, CT 06001
Phone (860) 676-4820

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

11 South Rd
Ste 240
Farmington, CT 06032

85 Seymour St
Ste 923
Hartford, CT 06106
Phone (860) 524-4550

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

1260 Silas Deane Hwy
Ste 106
Wethersfield, CT 06109
Phone (860) 258-3477

Interoperability endpoints

  • Direct secure messaging: john.russomanno@xdr.hhchealthdirect.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1023112596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 923",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-247-1876",
            "fax_number": "860-520-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSOMANNO",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "031537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00131537500",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.