Robert Irving Russell, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

94 Issued in AL

Practice address

1717 11TH Ave South
Suite 402
Birmingham, AL 35205-4700

Phone

(205) 933-9595

Fax

(205) 933-5250

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatry Associates PCGroup PAC ID 0749200442, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Encompass Health Lakeshore Rehabilitation Hospital Inpatient rehabilitation facility, Birmingham, AL, CCN 013025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Podiatry Associates PC

  • Foot Surgery Podiatrist
  • Birmingham, AL
  • NPI 1497957500
  Medicare reassignment Care Compare group NPD Authorized official
• Podiatry Associates PC

  • Foot Surgery Podiatrist
  • Sylacauga, AL
  • NPI 1942489232
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rebound, LLC

  • Rehabilitation Hospital
  • Birmingham, AL
  • NPI 1992778617

  Inpatient rehabilitation facility

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1265420673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054700",
            "telephone_number": "205-933-9595",
            "fax_number": "205-933-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 11TH AVE SOUTH",
            "address_2": "SUITE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054700",
            "telephone_number": "205-933-9595",
            "fax_number": "205-933-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ROBERT",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "94",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "94",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1201219",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC GROUP",
            "identifier": "697685",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Russell
• Maureen Gallagher Russell, PA-C
• Meredith Russell
• Paul Whittaker Russell
• Rebecca Fleenor Russell, MD
• Robert Thomason Russell, MD
• Sabrina Courtney Russell
• Samantha Kay Russell
• Stephen Wilbon Russell, M.D.
• Kyle Edward Russi

• Foot Surgery Podiatrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.

Verify at the official NPI Registry.