Individual provider Active NPI

Russell Daniel Parks, MD

  • Orthopaedic Surgery Physician
  • East Providence, RI
National Provider Identifier
1346737947
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD19127 Issued in RI
Practice address
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone
(401) 457-1500
NPI assigned
Apr 18, 2018
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA2 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
I20230802000553 RI Practitioner - Orthopedic Surgery 9931450897 Reassigns benefits to 1 organization
I20240902000443 LA Practitioner - Orthopedic Surgery 9931450897 Reassigns benefits to 2 organizations

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
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion88
Laminectomy or laminotomy (partial removal of spine bones)43
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19127RIMDOrthopaedic Surgery Physician
341291LAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Nov 29, 2024 Accepting new patients
University Orthopedics, Inc. Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Orthopaedic Sports Specialists of Louisiana LLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Single Specialty CurrentSince Nov 29, 2024 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC Orthopaedic Surgery CurrentSince Oct 1, 2024 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.