Individual provider Active NPI

Russell L Nelson, MD

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1285628966
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5646209-1205 Issued in UT
Practice address
5316 S Woodrow St Ste 200
Salt Lake City, UT 84107-5838
Phone
(801) 747-1020
Fax
(801) 747-1020
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5646209-1205 UT Primary

Addresses

Primary practice location

5316 S Woodrow St Ste 200
Salt Lake City, UT 84107-5838

Mailing address

5316 S Woodrow St Ste 200
Salt Lake City, UT 84107-5838
Phone (801) 747-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040702000369 UT Practitioner - Orthopedic Surgery 1355328790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Utah School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell L Nelson MD PCGroup PAC ID 4082850409, 2 clinicians

Practice addresses (Care Compare)

5316 S Woodrow St
Suite 200
Murray, UT 84107-5838
Phone (801) 747-1020

5323 S Woodrow St
Murray, UT 84107-5844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.26 of 100Reported as individual
Quality
25.12
Improvement activities
40
Cost
74.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement62
Knee replacement142
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John G. Skedros, M.D. PC Orthopaedic Surgery Current Accepting new patients
Wasatch Physical Therapy and Rehabilation Center Past Accepting new patients
Utah Bone & Joint Center LC Orthopaedic Surgery Past Accepting new patients

Locations

5323 S Woodrow St
Ste 200
Salt Lake City, UT 84107
Phone (801) 408-3900

5316 S Woodrow St
Ste 200
Salt Lake City, UT 84107
Phone (801) 747-1020

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

Interoperability endpoints

  • Direct secure messaging: russell.nelson.1@30853.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1285628966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 S WOODROW ST STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075838",
            "telephone_number": "801-747-1020",
            "fax_number": "801-713-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 S WOODROW ST STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075838",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "5646209-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.