Individual provider Active NPI

Adam Russak, MD

  • Cardiovascular Disease Physician
  • Fairfield, CT
National Provider Identifier
1215425897
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
80090 Issued in CT
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

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623003739 CT Practitioner - Cardiovascular Disease (Cardiology) 1658616123 Reassigns benefits to 2 organizations

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
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Bridgeport HospitalGroup PAC ID 2062312598, 134 clinicians

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

LicenseStateTypeSpecialty
80090CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital Current Accepting new patients
Northeast Medical Group, Inc. Cardiovascular Disease CurrentSince Jul 14, 2025 Accepting new patients
Mill Hill Medical Consultants Inc Hospitalist CurrentSince Jul 14, 2025 Accepting new patients
Bridgeport Hospital CurrentSince Aug 14, 2025 Accepting new patients
Bridgeport Hospital CurrentSince Aug 14, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.