Biagio S Russo IV

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PRS.007465 Issued in OH

Practice address

2121 W 117TH St
Cleveland, OH 44111-1642

Phone

(216) 417-4831

Fax

(216) 417-0040

NPI assigned

Nov 21, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1174484851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 E 72ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441055704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831",
            "fax_number": "216-417-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "BIAGIO",
        "middle_name": "S",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "PRS.007465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne C Russell, LSW
• Zipporah Russell, QMHS
• Olga Russial
• Sarah Russin, PHD
• Giavanna Marie Russo-Alvarez, PHARMD
• Christine Laverne Russo, O.D.
• Jenna Elizabeth Russo
• Nicholas A Russo, MD
• Nikki Russo
• Suzanne M Russo, MD

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.