Individual provider Active NPI

Louis Russo, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Concord, NH
National Provider Identifier
1285645200
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
20944 Issued in NH
Practice address
246 Pleasant St.
Memorial Building, West, Ground Floor
Concord, NH 03301-2548
Phone
(603) 224-1725
Fax
(603) 227-7557
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101263233 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 014997 ME
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD050220L PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 20944 NH Primary

Addresses

Primary practice location

246 Pleasant St.
Memorial Building, West, Ground Floor
Concord, NH 03301-2548

Mailing address

246 Pleasant St.
Memorial Building, West, Ground Floor
Concord, NH 03301-2548
Phone (603) 224-1725

Other practice location 1

145 Hospital Ave Ste 300
Du Bois, PA 15801-1465
Phone (814) 375-2040

Other practice location 2

500 J Clyde Morris Blvd Ste 602
Newport News, VA 23601-1929
Phone (757) 534-5511

Other identifiers 1

IdentifierTypeStateIssuer
102709991MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120621000196 PA Practitioner - Thoracic SurgeryPractitioner - General Surgery 9931137569 Reassigns benefits to 4 organizations
I20130515000561 NH Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 9931137569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-6070

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)36
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Apr 14, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jul 15, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Apr 14, 2020 Accepting new patients
Tower Health Medical Group CurrentSince Apr 14, 2020 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Jul 15, 2019 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Apr 14, 2020 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Ofc
Concord, NH 03301

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

530 South St
Ste 380
Greensburg, PA 15601
Phone (724) 261-5556

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

301 S 7th Ave
Ste 1120
West Reading, PA 19611
Phone (484) 628-0580

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1285645200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST.",
            "address_2": "MEMORIAL BUILDING, WEST, GROUND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-1725",
            "fax_number": "603-227-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST.",
            "address_2": "MEMORIAL BUILDING, WEST, GROUND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-1725",
            "fax_number": "603-227-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Hospital Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011465",
            "country_code": "US",
            "telephone_number": "814-375-2040",
            "fax_number": "814-375-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-534-5511",
            "fax_number": "757-534-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101263233",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ME",
            "license": "014997",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD050220L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NH",
            "license": "20944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102709991",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.