Individual provider Active NPI

Joseph M Russo, DPM

  • Podiatrist
  • Nottingham, MD
National Provider Identifier
1336225994
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01096 Issued in MD
Practice address
9712 Belair Rd Ste LL3
Nottingham, MD 21236-1110
Phone
(410) 256-6060
NPI assigned
Oct 27, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01096 MD Primary

Addresses

Primary practice location

9712 Belair Rd Ste LL3
Nottingham, MD 21236-1110

Mailing address

1 North Main Street
Bel Air, MD 21014
Phone (410) 803-0788

Other practice location 1

110 Old Padonia Rd Ste 301
Cockeysville, MD 21030-4948
Phone (410) 628-1066

Other practice location 2

6569 North Charles Street
Suite 702
Baltimore, MD 21204
Phone (410) 828-5420

Other identifiers 2

IdentifierTypeStateIssuer
E602OtherMDNATIONAL CAP BLUE
083068200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000265 MD Practitioner - Podiatry 1759442643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates PAGroup PAC ID 3072599943, 18 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians

Practice addresses (Care Compare)

1 N Main St
Suite 1
Bel Air, MD 21014-3592
Phone (410) 879-1212

9712 Belair Rd
Suite LL3
Baltimore, MD 21236-1110
Phone (410) 256-6060

Merit-based Incentive Payment System (MIPS)

Final score
78.44 of 100Reported as group
Quality
59.97
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions17
Removal of nail tissue1777
Removal or shaving of skin growth1176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01096MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Path Care PC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Podiatry Associates, P.a. Podiatrist PastSince Jan 1, 1991 Accepting new patients

Locations

1 N Main St
Bel Air, MD 21014
Phone (410) 803-0788

1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510

2 E Rolling Xrds
Ste 55
Catonsville, MD 21228
Phone (410) 265-5300

110 Old Padonia Rd
Ste 301
Hunt Valley, MD 21030
Phone (410) 560-5800

9712 Belair Rd
Ste LL3
Nottingham, MD 21236
Phone (410) 256-6060

Interoperability endpoints

  • Direct secure messaging: joseph.russo.1@4399.direct.athenahealth.com
  • Direct secure messaging: joseph.russo.1@6814.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1336225994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH MAIN STREET",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-803-0788",
            "fax_number": "410-803-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE LL3",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361110",
            "telephone_number": "410-256-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Old Padonia Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "210304948",
            "country_code": "US",
            "telephone_number": "410-628-1066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6569 North Charles Street",
            "address_2": "Suite 702",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21204",
            "country_code": "US",
            "telephone_number": "410-828-5420",
            "fax_number": "410-821-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CAP BLUE",
            "identifier": "E602",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083068200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.