Active NPI
Russell Abbott Reeves, M.D., M.S.
- Vascular & Interventional Radiology Physician
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 327901
- Practice address
- 830 Washington St
Watertown, NY 13601-4099 - Phone
- (315) 785-4100
- NPI assigned
- Apr 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A184507 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MT218952 | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A184507 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 327901 | NY | Primary |
Addresses
Primary practice location
830 Washington St
Watertown, NY 13601-4099
Mailing address
830 Washington St
Watertown, NY 13601-4099
Phone (315) 785-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 770-3432
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
Hospital & facility affiliations
- Samaritan Medical Center
- Wilkes-Barre General Hospital
- University Hospital S U N Y Health Science Center
- Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.13 of 100
- Quality
- 62.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 13 |
| Leg revascularization (restoring blood flow) | 25 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT218952 | PA | MD | Diagnostic Radiology Physician |
| A184507 | CA | MD | Vascular & Interventional Radiology Physician |
| 327901 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lawrence Radiology Assoc PC | Diagnostic Radiology | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Samaritan Medical Center | Current | Accepting new patients | |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Maritime Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Samaritan Medical Center | Current | Accepting new patients | |
| Samaritan Medical Center | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Olean Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400
4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
132 S 10th St
Fl 10
Philadelphia, PA 19107
Phone (215) 955-6226
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1023317849
-
dba Desert Radiology
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
CA
-
dba Martin Lurher King Jr. Community Medical Group
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
-
- Rehabilitation Hospital Unit
- Watertown, NY
- NPI 1093722068
-
- Psychiatric Hospital Unit
- Watertown, NY
- NPI 1801902713
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
dba Martin Luther King Jr. Community Medical Group
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1639704323
-
- Diagnostic Radiology Physician
- Olean, NY
- NPI 1700829850
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Watertown, NY
- NPI 1093722068
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
dba Wilkes Barre General Hospital
- Clinic/Center
- Wilkes Barre, PA
- NPI 1053554378
Hospital
-
dba Wilkes Barre General Hospital
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1326573775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014099",
"telephone_number": "315-785-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014099",
"telephone_number": "315-785-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "RUSSELL",
"middle_name": "ABBOTT",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-24",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A184507",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MT218952",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A184507",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "327901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.