Active NPI
Richard B Russman, MD
- Cardiovascular Disease Physician
- Pittsburgh, PA
National Provider Identifier
1386625655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD008156E
- Practice address
- 1050 Bower Hill Rd
Suite 308
Pittsburgh, PA 15243-1800 - Phone
- (412) 344-4767
- Fax
- (412) 344-0405
- NPI assigned
- Nov 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD008156E | PA | Primary |
Addresses
Primary practice location
1050 Bower Hill Rd
Suite 308
Pittsburgh, PA 15243-1800
Mailing address
1050 Bower Hill Rd
Suite 308
Pittsburgh, PA 15243-1800
Phone (412) 344-4767
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87154 | Other | HEALTH AMERICA | |
| 1001032 | Other | GATEWAY HEALTH PLAN | |
| 059283 | Other | PA | HIGHMARK BLUE SHIELD |
| 2061367 | Other | AETNA | |
| 000734040003 | Medicaid | PA | |
| 000000084776 | Other | UNISON HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1386625655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 BOWER HILL RD",
"address_2": "SUITE 308",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431800",
"telephone_number": "412-344-4767",
"fax_number": "412-344-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 BOWER HILL RD",
"address_2": "SUITE 308",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431800",
"telephone_number": "412-344-4767",
"fax_number": "412-344-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSMAN",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD008156E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "87154",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1001032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "059283",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2061367",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000734040003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "000000084776",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.