Michael B Russo, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD14968 Issued in HI

Practice address

250 Ward Ave Ste 170
Honolulu, HI 96814-4014

Phone

(808) 294-3332

Fax

(808) 748-2920

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Neurology

Education

Chicago College of Medicine and Surgery, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.05 of 100Reported as apm

Quality

89.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michael B Russo MD, Inc

  • Specialist
  • Honolulu, HI
  • NPI 1871972232
  Medicare reassignment NPD Authorized official
• Michael B. Russo, MD, Inc

  • Specialist
  • Honolulu, HI
  • NPI 1588957500
  Medicare reassignment Authorized official
• Michael B. Russo MD Inc

  • Non-Pharmacy Dispensing Site
  • Honolulu, HI
  • NPI 1477806214
  NPD Authorized official
• Maryland Neurological Center, LLC

  • Neurology Physician
  • Columbia, MD
  • NPI 1205950656
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1477523785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WARD AVE STE 170",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144014",
            "telephone_number": "808-294-3332",
            "fax_number": "808-748-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WARD AVE STE 170",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144014",
            "telephone_number": "808-294-3332",
            "fax_number": "808-748-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "HI",
            "license": "MD14968",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "MD14968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Wong MD Inc
• Joanna Marie Russell, M.D.
• Laura A. Russell, MD
• Saba S. Russell, MD
• Malia Russo
• Rachelle A. B. Russo, LCSW, CSAC
• Natalie Monique Ruter
• Ruth Anne Kramer, PLLC
• Ruth Davis MFT LLC
• Chelsey Ruth

• Neurology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Neurology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.