Individual provider Active NPI

James Patrick Russell, MD

  • Dermatology Physician
  • Brookfield, WI
National Provider Identifier
1235122870
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
47855020 Issued in WI
Practice address
13800 W North Ave
Ste 100
Brookfield, WI 53005-4974
Phone
(262) 754-4488
Fax
(262) 754-4940
NPI assigned
Aug 30, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 47855020 WI Primary

Addresses

Primary practice location

13800 W North Ave
Ste 100
Brookfield, WI 53005-4974

Mailing address

13800 W North Ave
Ste 100
Brookfield, WI 53005-4974
Phone (262) 754-4488

Other identifiers 4

IdentifierTypeStateIssuer
P00384061OtherWIRAILROAD MEDICARE
34688800MedicaidWI
P00368881OtherWIRAILROAD MEDICARE
P00364352OtherWIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050509000379 WI Practitioner - Dermatology 0648249763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians
Affiliated Dermatologists SCGroup PAC ID 8123065794, 12 clinicians

Practice addresses (Care Compare)

1155 N Mayfair Rd
FL 2
Milwaukee, WI 53226-3462
Phone (414) 955-4263

13800 W N Ave
Suite 100
Brookfield, WI 53005-4977
Phone 2627544488119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
90.63
Improvement activities
40
Cost
82.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1615
Skin biopsy231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47855020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatologists, SC Dermatology CurrentSince Jul 1, 2005 Accepting new patients
Affiliated Dermatologists SC Dermatology CurrentSince Jul 1, 2005 Accepting new patients
The Medical College of Wisconsin, Inc. Dermatology CurrentSince Mar 3, 2006 Accepting new patients
Affiliated Dermatologists SC Dermatology PastSince Jun 22, 2021 Accepting new patients
Wisconsin Health Fund Past Accepting new patients
The Medical College of Wisconsin Inc Past Accepting new patients

Locations

13800 W North Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-4488

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

14555 W National Ave
Ste 190
New Berlin, WI 53151
Phone (262) 754-4488

1111 Delafield St
Ste 308
Waukesha, WI 53188
Phone (262) 542-4251

1111 Delafield St
Ste 327
Waukesha, WI 53188
Phone (262) 239-7070

1155 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 805-5440

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: jrussellmd13435@direct.froedtert.com

Organizations & group practices 7

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 3

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1235122870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE",
            "address_2": "STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054974",
            "telephone_number": "262-754-4488",
            "fax_number": "262-754-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE",
            "address_2": "STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054974",
            "telephone_number": "262-754-4488",
            "fax_number": "262-754-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "47855020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00384061",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34688800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00368881",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00364352",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.