Neha Russo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704283581 Issued in MI

Practice address

21300 Kelly Rd
Eastpointe, MI 48021-3232

Phone

(586) 447-4200

NPI assigned

Feb 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pointes Allergy and Asthma Center, P.C.Group PAC ID 7113291998, 2 clinicians

Uptiv Health Mi PCGroup PAC ID 5698140523, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Uptiv Health Mi PC

  • Family Nurse Practitioner
  • Westland, MI
  • NPI 1285335265
  Medicare reassignment Care Compare group NPD
• Pointes Allergy and Asthma Center, P.C.

  • Allergy & Immunology Physician
  • Saint Clair Shores, MI
  • NPI 1326576570
  Medicare reassignment Care Compare group
• Uptiv Health Mi PC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1952288029
  NPD
• Grosse Pointe Allergy & Asthma Center PC

  • Allergy & Immunology Physician
  • Eastpointe, MI
  • NPI 1730265927
  NPD (past)

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

• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1063950665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45657 MOUNT AUBURN AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156096",
            "telephone_number": "586-838-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213232",
            "telephone_number": "586-447-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "NEHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704283581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Roscoe
• Emanuel James Rothis, D.D.S
• Sharda Rucker
• Runway Transportation
• Joya Gaddy Rush-Keli, LMSW
• Trina Mary Russo, DPM
• Aeryn Lynn Rutt
• Saadia Siddiqui MD PC
• Sacred Heart Rehabilitation Center
• Sacred Heart Rehabilitation Center

• Family Nurse Practitioner in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.

Verify at the official NPI Registry.