Active NPI
Russell Daniel Parks, MD
- Orthopaedic Surgery Physician
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD19127
- Practice address
- 1 Kettle Point Ave
East Providence, RI 02914-5375 - Phone
- (401) 457-1500
- NPI assigned
- Apr 18, 2018
- Last updated
- Jul 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD19127 | RI | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 341291 | LA |
Addresses
Primary practice location
1 Kettle Point Ave
East Providence, RI 02914-5375
Mailing address
PO Box 1119
Providence, RI 02901-1119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1029 Northwest Blvd
Franklin, LA 70538-3407
Phone (337) 828-0760
726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200
Hospital & facility affiliations
- Vitalcaring Group
- Vitalcaring Group
- Divinity Home Health Services, LLC
- Thibodaux Regional Medical Center
- Physicians Medical Center
- Bayou Bend Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.76
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Spinal fusion | 88 |
| Laminectomy or laminotomy (partial removal of spine bones) | 43 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19127 | RI | MD | Orthopaedic Surgery Physician |
| 341291 | LA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No. 1 of the Parish of St. Mary | Current | Accepting new patients | |
| University Orthopedics, Inc. | Single Specialty | Current | Accepting new patients |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Sports Specialists of Louisiana LLC | Single Specialty | Current | Accepting new patients |
| Hospital Service District No. 1 of the Parish of St. Mary | Single Specialty | Current | Accepting new patients |
| Orthopaedic Sports Specialists of Louisiana, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Russ Parks MD LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Allen T. Borne, M.D., LLC | Single Specialty | Past | Accepting new patients |
Locations
1029 Northwest Blvd
Franklin, LA 70538
Phone (337) 366-6004
200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102
180 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390
726 N Acadia Rd
#1000
Thibodaux, LA 70301
726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301
1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
Organizations & group practices 8
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.
-
dba Bayou Bend Health System
- Surgery Physician
- Franklin, LA
- NPI 1699895953
Single Specialty
-
dba OrthoLA
- Orthopaedic Surgery Physician
- Thibodaux, LA
- NPI 1316146228
Single Specialty
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
Single Specialty
-
- Orthopaedic Surgery of the Spine Physician
- Thibodaux, LA
- NPI 1821843384
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
-
dba Bayou Bend Health System
- Medicare Defined Swing Bed Hospital Unit
- Franklin, LA
- NPI 1083753610
-
dba OrthoLA
- Orthopaedic Surgery Physician
- Lutcher, LA
- NPI 1720752827
-
- Orthopaedic Hand Surgery Physician
- Thibodaux, LA
- NPI 1033633284
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VitalCaring Group
- Home Health Agency
- Morgan City, LA
- NPI 1609009844
-
- Home Health Agency
- Thibodaux, LA
- NPI 1801224084
-
dba Bayou Bend Health System
- Critical Access Hospital
- Franklin, LA
- NPI 1043218365
-
- General Acute Care Hospital
- Houma, LA
- NPI 1477509859
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1346737947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1119",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029011119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KETTLE POINT AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145375",
"telephone_number": "401-457-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "RUSSELL",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-18",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "RI",
"license": "MD19127",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "LA",
"license": "341291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.