Keith Perry Russell, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

24818 Issued in MS

Practice address

200 State Highway 30 W
New Albany, MS 38652-3112

Phone

(800) 889-8610

Fax

(601) 982-7909

NPI assigned

Jul 6, 2011

Last updated

Sep 27, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Diagnostic Radiology

Education

University of Mississippi School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oxford Pre Op and Imaging Center LLCGroup PAC ID 0840444998, 20 clinicians

Imaging Centers for Excellence, LLCGroup PAC ID 6406854538, 17 clinicians

Baptist Memorial Hospital - Calhoun IncGroup PAC ID 5395024210, 24 clinicians

Winston County Medical FoundationGroup PAC ID 7315943255, 29 clinicians

Imaging Center at Gloster Creek Village PLLCGroup PAC ID 5991771255, 20 clinicians

Tate County HospitalGroup PAC ID 6103282165, 35 clinicians

Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Premier Radiology IncGroup PAC ID 2769452242, 26 clinicians

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Choctaw Regional Medical CenterGroup PAC ID 2567682206, 39 clinicians

Medical Imaging, LLCGroup PAC ID 5698731271, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Winston Medical Center Hospital, Louisville, MS, CCN 250027
• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172
• Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19510/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
• Direct secure messaging: keithrussell@nmhs.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baptist Memorial Hospital-Calhoun Inc

  • Critical Access Hospital
  • Calhoun City, MS
  • NPI 1881142461
  Medicare reassignment Care Compare group NPD
• Imaging Center at Gloster Creek Village PLLC

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1417907536
  Medicare reassignment Care Compare group NPD
• Imaging Centers for Excellence, LLC

  dba Premier Imaging

  • Radiology Clinic/Center
  • Starkville, MS
  • NPI 1730281148

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1316075864
  Medicare reassignment Care Compare group NPD
• Oxford Pre Op & Imaging Center LLC

  • Radiology Clinic/Center
  • Oxford, MS
  • NPI 1750646436
  Medicare reassignment Care Compare group NPD
• Premier Radiology, Inc

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1083669121
  Medicare reassignment Care Compare group NPD
• Tate County Hospital

  dba Highland Hills Medical Associates

  • Rural Health Clinic/Center
  • Senatobia, MS
  • NPI 1285331298
  Medicare reassignment Care Compare group NPD
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1316078108
  Medicare reassignment Care Compare group NPD
• Choctaw Regional Medical Center

  dba Choctaw Medical Clinic of Ackerman

  • Family Medicine Physician
  • Ackerman, MS
  • NPI 1235547878
  Medicare reassignment Care Compare group
• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba Monroe Regional Hospital

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment NPD

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

• Clay County Medical Corporation

  dba Clay County Medical Center

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation
• Tate County Hospital

  dba Highland Hills Medical Center

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251
  Care Compare affiliation
• Tate County Hospital

  dba Highland Hills Medical Associates of Strayhorn

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation
• Webster Health Services, Inc.

  dba Webster General Hospital

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Care Compare affiliation
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1073597126
  Care Compare affiliation

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1326335886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4767",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392964767",
            "telephone_number": "800-889-8610",
            "fax_number": "601-982-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE HIGHWAY 30 W",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523112",
            "telephone_number": "800-889-8610",
            "fax_number": "601-982-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Burke Calhoun City Rd",
            "address_purpose": "LOCATION",
            "city": "Calhoun City",
            "state": "MS",
            "postal_code": "389169690",
            "country_code": "US",
            "telephone_number": "662-628-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KEITH",
        "middle_name": "PERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "T-2483",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "24818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kevin Rowan, DMD
• Deborah Michelle Rowan, RN
• Marley Rumbarger, FNP
• Kara Rushing, FNP-C
• Russell Medical Clinic
• Sandra Allison Russell, NP-C
• Sageberry Psychology, LLC (Sageberry Psychology)
• Shelia A Sancillo Tice, CFNP
• Lisa Michelle Sanford, FNP-BC
• Tony D Sanford Sr.

• Diagnostic Radiology Physician in New Albany, MS
• Providers in New Albany, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.