Individual provider Active NPI

Suzanne M Russo, MD

  • Radiation Oncology Physician
  • Cleveland, OH
National Provider Identifier
1063437515
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.125723 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-3951
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 40280 TN
Radiation Oncology Physician 2085R0001X 24394 AL
Radiation Oncology Physician 2085R0001X 97-00385 NC
Radiation Oncology Physician 2085R0001X 19098 MS
Radiation Oncology Physician 2085R0001X 35.125723 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

20800 Harvard Rd
2ND Floor
Highland Hills, OH 44122-7202

Other identifiers 5

IdentifierTypeStateIssuer
0135692MedicaidOH
126MHOtherNCBCBS
920006473OtherALRAILROAD MEDICARE
89126MHMedicaidNC
051513420OtherALBLUE CROSS

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address suzannerusso@uhhs.allscriptsdirect.net
Direct Messaging Address suzannerusso@uhhs.allscriptsdirect.net
Direct Messaging Address suzannerusso@uhhs.allscriptsdirect.net
Direct Messaging Address suzannerusso@uhhs.allscriptsdirect.net
Direct Messaging Address suzannerusso@uhhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101021000347 AL Practitioner - Radiation Oncology 8729003157 Reassigns benefits to 1 organization
I20150715001884 OH Practitioner - Radiation Oncology 8729003157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of North Carolina at Chapel Hill School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97-00385NCMDRadiation Oncology Physician
35.125723OHMDRadiation Oncology Physician
40280TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jan 1, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
University of South Alabama CurrentSince Aug 1, 2010 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2015 Accepting new patients
The Metrohealth System CurrentSince Jan 1, 2024 Accepting new patients
University of South Alabama Current Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Mid-South Imaging & Therapeutics, P.a. Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Ste 1200
Cleveland, OH 44106
Phone (216) 844-3080

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

41201 Schadden Rd
Elyria, OH 44035
Phone (440) 324-0400

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

6525 Powers Blvd
Parma, OH 44129
Phone (330) 242-4020

3909 Orange Pl
Warrensville Heights, OH 44122
Phone (216) 844-3004

960 Clague Rd
Westlake, OH 44145
Phone (440) 250-2001

Interoperability endpoints

  • Direct secure messaging: srusso262918@direct.metrohealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1063437515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 HARVARD RD",
            "address_2": "2ND FLOOR",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441227202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "40280",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "24394",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "97-00385",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "19098",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.125723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135692",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "126MH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920006473",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126MH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051513420",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannerusso@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannerusso@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "41201 Schadden Rd",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440352249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannerusso@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannerusso@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannerusso@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6525 Powers Blvd",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.