Active NPI
Mary Elizabeth Russell, D.O., M.S.
- Physical Medicine & Rehabilitation Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- Q0354
- Practice address
- 9250 Pinecroft Drive
Tirr
Shenandoah, TX 77380-3256 - Phone
- (713) 897-4909
- Fax
- (713) 897-4919
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Q0354 | TX | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | DO-04572 | IA |
Addresses
Primary practice location
9250 Pinecroft Drive
Tirr
Shenandoah, TX 77380-3256
Mailing address
9250 Pinecroft Dr.
Tirr
The Woodlands, TX 77380
Phone (713) 897-4909
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8HS092 | Other | TX | BCBS |
| 378844001 | Medicaid | TX | |
| 623197YKY3 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8603 Broadway St
Suite 103
Pearland, TX 77584-8172
Phone (713) 486-7580
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
6431 Fannin St
#G550A
Houston, TX 77030
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912
10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000
8603 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 485-4770
920 Medical Plaza Dr
Ste 340
Shenandoah, TX 77380
Phone (713) 897-2371
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
Interoperability endpoints
- mrussell56707@memorialhermann.direct-ci.com
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Houston, TX
- NPI 1669414884
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Houston, TX
- NPI 1710985098
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1194019158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 PINECROFT DR.",
"address_2": "TIRR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77380",
"telephone_number": "713-897-4909",
"fax_number": "713-897-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 PINECROFT DRIVE",
"address_2": "TIRR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803256",
"telephone_number": "713-897-4909",
"fax_number": "713-897-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2023-12-21",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "Q0354",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "DO-04572",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8HS092",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378844001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "623197YKY3",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.