Mark B Russi, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

032596 Issued in CT

Practice address

135 College St
Third Floor
New Haven, CT 06510-2483

Phone

(203) 785-4197

Fax

(203) 785-7391

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Preventive Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.36 of 100Reported as group

Quality

77.36

Promoting interoperability

100

Improvement activities

40

Cost

74.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrussi4457@direct.ynhh.org

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.

• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment Care Compare group NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1285615591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLLEGE ST",
            "address_2": "THIRD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102483",
            "telephone_number": "203-785-4197",
            "fax_number": "203-785-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLLEGE ST",
            "address_2": "THIRD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102483",
            "telephone_number": "203-785-4197",
            "fax_number": "203-785-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSI",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "032596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001325960",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth G Russell, LCSW
• Jacqueline A Russell, LMSW
• Kerry S Russell, MD
• Raymond Richard Russell, MD
• Sage Russell
• Paul Edward Russo Jr., M.D.
• Lauren Katharine Ruth, PH.D.
• Katherine Presley Rutland, APRN
• Will Rutland, M.D.
• Christine Bethany Ryan, MD, PHD

• Occupational Medicine Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Occupational Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.