Sarah Fulham Russell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1021381 Issued in MA

Practice address

57 Prospect St
Nantucket, MA 02554-2799

Phone

(508) 825-8100

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
• Nantucket Cottage Hospital Hospital, Nantucket, MA, CCN 220177

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.sarah.nch@direct.partners.masshiway.net

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.

• Nantucket Cottage Hospital

  • Rural Acute Care Hospital
  • Nantucket, MA
  • NPI 1447214622
  Medicare reassignment Care Compare group NPD
• Nantucket Physicians Organization

  • Orthopaedic Surgery Physician
  • Nantucket, MA
  • NPI 1568798510
  Medicare reassignment NPD
• Nantucket Cottage Hospital

  • Rural Health Clinic/Center
  • Nantucket, MA
  • NPI 1477021608
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Visiting Nurse Association of Cape Cod, Inc.

  • Home Health Agency
  • South Dennis, MA
  • NPI 1649258278
  Care Compare affiliation Name & address match
• Nantucket Cottage Hospital

  • Rural Acute Care Hospital
  • Nantucket, MA
  • NPI 1447214622
  Care Compare affiliation

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1417241415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542799",
            "telephone_number": "508-825-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542799",
            "telephone_number": "508-825-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 S Stoughton Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537162257",
            "country_code": "US",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SARAH",
        "middle_name": "FULHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "65857-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1021381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417241415",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberts Family Dentistry LLC
• Matthew S Roberts, DMD, MIDIA
• Paul M Roberts, DDS
• Sandra Noemi Rosario
• Michael J. Ruby, O.D.
• Lisa Russo Russo, LCSW
• Lois Sager, MA,CCC/SLP
• Jill Marie Samale, MD
• Valerie Sampier, MSW, LICSW
• Cheryl Ann Samsel

• Internal Medicine Physician in Nantucket, MA
• Providers in Nantucket, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.