Larisa Viktorovna Russell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26797 Issued in AL

Practice address

4600 Highway 280
Birmingham, AL 35242-5028

Phone

(205) 408-1231

Fax

(205) 408-1229

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 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

Specialty

Emergency MedicineAlso: Family Practice

Education

University of Alabama School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Med Help PCGroup PAC ID 0648223602, 15 clinicians

Med Help 280 LLCGroup PAC ID 6800849860, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179
• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17217/brand/1/csg/1/fhir/r4
• Direct secure messaging: larisa.russell.1@17217.direct.athenahealth.com

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.

• Med Help 280 LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1174681654
  Medicare reassignment Care Compare group NPD
• Larisa Bradford LLC

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1629803754
  Medicare reassignment NPD Authorized official
• Med Help PC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1083772560
  Medicare reassignment Care Compare group
• Medhelp Shelby, LLC

  • Family Medicine Physician
  • Pelham, AL
  • NPI 1053832089
  Medicare reassignment NPD
• Crimson Urgent Care, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1831205228
  NPD (past)
• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  NPD (past)
• Roswell Urgent Care Center LLC

  • Urgent Care Clinic/Center
  • Roswell, GA
  • NPI 1174790331
  NPD (past)

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

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• Prohealth Home Health, LLC

  • Home Health Agency
  • Birmingham, AL
  • NPI 1194324624
  Care Compare affiliation

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1104812494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280 STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425185",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425028",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Wall St",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350556011",
            "country_code": "US",
            "telephone_number": "256-736-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LARISA",
        "middle_name": "VIKTOROVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "057050",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Wayne Russell, CRSS
• Elaine Wortham Russell, L.P.C.
• Elizabeth Ann Russell
• Gretel L. Russell, MD
• Harrell Scott Russell, D.M.D.
• Leah Russell, PA-C
• Madison Russell
• Matthew Russell
• Maureen Gallagher Russell, PA-C
• Meredith Russell

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.