Active NPI
Gabrielle Jennifer Russell, MD
- Family Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V0858
- Practice address
- 3500 W Wheatland Rd
Dallas, TX 75237-3460 - Phone
- (214) 947-5420
- NPI assigned
- May 14, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | V0858 | TX | Primary |
Addresses
Primary practice location
3500 W Wheatland Rd
Dallas, TX 75237-3460
Mailing address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575
Suite 30
Mesquite, TX 75150-6905
Phone (469) 800-2800
3090 N Goliad St
Rockwall, TX 75087-7007
Phone (972) 722-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0858 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Texan Urgent Care PLLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Primary Health Physicians, PLLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901
104 S Main St
Keller, TX 76248
Phone (214) 295-9385
1575 Interstate 30
Mesquite, TX 75150
Phone (469) 800-2800
377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945
3090 N Goliad St
Rockwall, TX 75087
Phone (972) 722-0011
Interoperability endpoints
- grussell1357790@direct.sw.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Dallas, TX
- NPI 1962153940
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1346545209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1265006241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 W WHEATLAND RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W WHEATLAND RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373460",
"telephone_number": "214-947-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "GABRIELLE",
"middle_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V0858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.