Individual provider Active NPI

Melissa Lauren Russo, M.D.

  • Maternal & Fetal Medicine Physician
  • Providence, RI
National Provider Identifier
1205034519
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD15891 Issued in RI
Practice address
101 Plain St FL 6
Providence, RI 02903-4829
Phone
(401) 274-1122
Fax
(401) 453-7622
NPI assigned
Jul 7, 2007
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 274564 MA
Maternal & Fetal Medicine Physician 207VM0101X MD15891 RI Primary

Addresses

Primary practice location

101 Plain St FL 6
Providence, RI 02903-4829

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

90 Plain St
Providence, RI 02903-4817
Phone (401) 274-1122 ext. 47457

Other practice location 2

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlrusso@direct.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20170615001533 RI Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 4981852811 Reassigns benefits to 3 organizations
I20200324000761 MA Practitioner - Obstetrics/Gynecology 4981852811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wih Faculty Physicians, IncGroup PAC ID 9234179763, 14 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

373 New Boston Rd
Suite 3
Fall River, MA 02720-5852
Phone (508) 235-3500

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Jul 5, 2017 Accepting new patients
The Miriam Hospital CurrentSince Feb 15, 2021 Accepting new patients
Affinity Physicians LLC. Obstetrics & Gynecology CurrentSince Jul 5, 2017 Accepting new patients
Lifespan Physician Group, Inc. Obstetrics & Gynecology CurrentSince Jul 5, 2021 Accepting new patients
The Miriam Hospital CurrentSince Feb 15, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 5, 2021 Accepting new patients
Wih Faculty Physicians, Inc Obstetrics & Gynecology CurrentSince Feb 21, 2020 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

373 New Boston Rd
Ste 3
Fall River, MA 02720
Phone (508) 235-3500

6 Whipple St
North Attleboro, MA 02760
Phone (401) 331-6980

300A Faunce Corner Rd
Ste 202
North Dartmouth, MA 02747
Phone (508) 995-2762

1377 S County Trl
Ste 2A
East Greenwich, RI 02818
Phone (401) 606-4205

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

101 Plain St
Fl 6
Providence, RI 02903
Phone (401) 453-7510

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

148 W River St
Ste 8
Providence, RI 02904
Phone (401) 606-3000

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: mlrusso@direct.carene.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1205034519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST FL 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034829",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Plain St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034817",
            "country_code": "US",
            "telephone_number": "401-274-1122 x47457",
            "fax_number": "401-277-3694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MELISSA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-07",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MA",
            "license": "274564",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "RI",
            "license": "MD15891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlrusso@direct.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Plain St Fl 6",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.