Active NPI
Michael Loyd Russ, MD
- Physical Medicine & Rehabilitation Physician
- Coral Springs, FL
National Provider Identifier
1235158601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 188435
- Practice address
- 5441 N University Dr Ste 101
Coral Springs, FL 33067-4640 - Phone
- (954) 803-9002
- Fax
- (954) 933-2305
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 188435 | NY | Primary |
Addresses
Primary practice location
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Mailing address
30 Hempstead Ave
Suite 258
Rockville Centre, NY 11570-4033
Phone (516) 536-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Factor Medical PC | Past | Accepting new patients | |
| Orlin & Cohen Orthopedic Associates, LLP | Past | Accepting new patients | |
| Inzlicht, Lewin & Winiarsky, MD, PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
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.
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-
- Occupational Therapist
- Brooklyn, NY
- NPI 1194934661
-
- Orthopaedic Surgery Physician
- Rockville Centre, NY
- NPI 1649246216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1235158601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HEMPSTEAD AVE",
"address_2": "SUITE 258",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704033",
"telephone_number": "516-536-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 N UNIVERSITY DR STE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674640",
"telephone_number": "954-803-9002",
"fax_number": "954-933-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "MICHAEL",
"middle_name": "LOYD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "188435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.