Robert Laron Russell, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

01072922A Issued in IN

Practice address

14585 Dover Dr
Carmel, IN 46033-8561

Phone

(314) 703-5269

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 33

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 33

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Daviess County Hospital

  • Skilled Nursing Facility
  • Sheridan, IN
  • NPI 1609819572

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Majestic Home Health LLC

  • Home Health Agency
  • Westfield, IN
  • NPI 1417527235

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1053358960

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Bedford, IN
  • NPI 1104831718

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1235177981

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1386640886

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Lafayette, IN
  • NPI 1417398199

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • North Vernon, IN
  • NPI 1497792345

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Bloomington, IN
  • NPI 1548275134

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1558367052

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Goshen, IN
  • NPI 1609977628

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1780025460

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Battle Creek SNF Operations LLC

  • Skilled Nursing Facility
  • Battle Creek, MI
  • NPI 1487237392
  NPD (past)
• Highlands Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Louisville, KY
  • NPI 1922653930
  NPD (past)
• Majestic Care of Cedar Village LLC

  • Skilled Nursing Facility
  • Mason, OH
  • NPI 1235889593
  NPD (past)
• Majestic Care of Toledo SNF Operations LLC

  • Skilled Nursing Facility
  • Toledo, OH
  • NPI 1740947431
  NPD (past)
• Perrysburg Oh Health & Rehab Opco LLC

  • Skilled Nursing Facility
  • Perrysburg, OH
  • NPI 1295542892
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1407052376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14585 DOVER DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338561",
            "telephone_number": "314-703-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14585 DOVER DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338561",
            "telephone_number": "314-703-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2741 N Salisbury St",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479061431",
            "country_code": "US",
            "telephone_number": "765-463-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Lindberg Rd",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479067317",
            "country_code": "US",
            "telephone_number": "765-464-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 South St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479043063",
            "country_code": "US",
            "telephone_number": "765-446-9229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Cason St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042613",
            "country_code": "US",
            "telephone_number": "765-447-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 St Francis Way Ste 209",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "47905",
            "country_code": "US",
            "telephone_number": "765-775-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 Park East Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479050797",
            "country_code": "US",
            "telephone_number": "765-446-3540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054911",
            "country_code": "US",
            "telephone_number": "765-447-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479061447",
            "country_code": "US",
            "telephone_number": "765-423-2571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Mulberry",
            "state": "IN",
            "postal_code": "460589538",
            "country_code": "US",
            "telephone_number": "765-296-2911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 N 14th St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042024",
            "country_code": "US",
            "telephone_number": "765-423-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ROBERT",
        "middle_name": "LARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006034008",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01072922A",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01072922A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001161691",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201214540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rumschlag Optometry, P.C.
• Samuel L Rumschlag, O.D.
• Kurt Alan Rupenthal, DDS
• Allison K Rush, PTA
• Carsyieona Russell
• Kashana Ruth, FNP-C
• Selvy Ruvalcaba, RBT
• Rxprotect LLC
• Candace Marie Ryall, RBT
• Ryan C Fleming LLC

• Geriatric Medicine (Internal Medicine) Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.