Active NPI
Adam Russak, MD
- Cardiovascular Disease Physician
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 80090
- Practice address
- 1305 Post Rd
Fairfield, CT 06824-6016 - Phone
- (203) 292-2000
- NPI assigned
- Apr 28, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 305534 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 80090 | CT | Primary |
Addresses
Primary practice location
1305 Post Rd
Fairfield, CT 06824-6016
Mailing address
1305 Post Rd
Fairfield, CT 06824-6016
Other practice location 1
327 Riverside Ave
Westport, CT 06880-4821
Phone (203) 292-2000
Other practice location 2
17 E 102nd St
New York, NY 10029-5204
Phone (212) 659-8551
Other practice location 3
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-1653
Other practice location 4
999 Silver Ln
Trumbull, CT 06611-5343
Phone (203) 385-1111
Other practice location 5
267 Grant St
Bridgeport, CT 06610-2805
Phone (120) 338-4300
Other practice location 6
20 Commerce Park
Milford, CT 06460-3511
Phone (203) 283-5200
Other practice location 7
300 Seaside Ave
Milford, CT 06460-4603
Phone (120) 387-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Cardiovascular Disease (Cardiology)
- Education
- University of Rochester School of Medicine and Dentistry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 Post Rd
Lowr Level
Fairfield, CT 06824-6016
Phone (203) 292-2000
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80090 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Hospitalist | Current | Accepting new patients |
| Bridgeport Hospital | Current | Accepting new patients | |
| Bridgeport Hospital | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
1305 Post Rd
Fairfield, CT 06824
Phone (203) 255-3441
1305 Post Rd
Lowr
Fairfield, CT 06824
Phone (203) 292-2000
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
20 Commerce Park
Milford, CT 06460
Phone (203) 283-5200
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
999 Silver Ln
Trumbull, CT 06611
Phone (203) 380-5270
999 Silver Ln
Fl 1
Trumbull, CT 06611
327 Riverside Ave
Westport, CT 06880
Phone (203) 221-3030
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
Interoperability endpoints
- arussak724092@direct.ynhh.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Cardiovascular Disease
-
- General Acute Care Hospital
- Milford, CT
- NPI 1619553021
-
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1881607232
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1215425897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-292-2000"
}
],
"practiceLocations": [
{
"address_1": "327 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Westport",
"state": "CT",
"postal_code": "068804821",
"country_code": "US",
"telephone_number": "203-292-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 E 102nd St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100295204",
"country_code": "US",
"telephone_number": "212-659-8551",
"fax_number": "212-831-8116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-1653",
"fax_number": "212-289-6393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 Silver Ln",
"address_purpose": "LOCATION",
"city": "Trumbull",
"state": "CT",
"postal_code": "066115343",
"country_code": "US",
"telephone_number": "203-385-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102805",
"country_code": "US",
"telephone_number": "120-338-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Commerce Park",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064603511",
"country_code": "US",
"telephone_number": "203-283-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Seaside Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064604603",
"country_code": "US",
"telephone_number": "120-387-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSAK",
"first_name": "ADAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-28",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "305534",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "80090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.