Active NPI
Russell Lewis Gombosi, MD
- Internal Medicine Physician
- Williamsport, PA
National Provider Identifier
1528078433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD043621L
- Practice address
- 3155 Lycoming Creek Rd
Williamsport, PA 17701-1032 - Phone
- (570) 651-9263
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD043621L | PA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD043621L | PA | |
| Pediatrics Physician | 208000000X | MD043621L | PA |
Addresses
Primary practice location
3155 Lycoming Creek Rd
Williamsport, PA 17701-1032
Mailing address
3155 Lycoming Creek Rd
Williamsport, PA 17701-1032
Phone (570) 651-9263
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1866448 | Other | PA | UNITEDHEALTHCARE |
| 191328 | Other | PA | HIGHMARK BLUE SHIELD |
| 4626556 | Other | PA | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgombosi102634@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504000814 | PA | Practitioner - Internal Medicine | 3476541814 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Pennsylvania State University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Extension Services LLCPhoenix Rehabilitation and Health Services IncUpmc Wellsboro
Practice addresses (Care Compare)
1948 E 3Rd St
Suite C
Williamsport, PA 17701-3945
Phone (570) 327-1760
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
3155 Lycoming Creek Rd
Williamsport, PA 17701-1032
Phone (570) 651-9263
32 -36 Central Ave
Wellsboro, PA 16901-1840
9 Water St
Office of Orthopedics
Wellsboro, PA 16901-1117
Phone (570) 724-2325
Hospital & facility affiliations
- Upmc Home Healthcare
- Residential Home Health of NC PA, LLC
- Family Hospice
- Upmc Williamsport
- Geisinger Medical Center
- Geisinger Jersey Shore Hospital
- Upmc Wellsboro
- Upmc Muncy
- Williamsport Home, The
- Valley View Rehab and Nursing Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.69 of 100
- Quality
- 85.57
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.37 of 100
- Quality
- 86.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 44.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Wellsboro | Internal Medicine | Current | Accepting new patients |
| Upmc Wellsboro | Current | Accepting new patients | |
| Open Arms Internal Medicine & Pediatrics, PC | Current | Accepting new patients | |
| North Penn Comprehensive Health Services | Past | Accepting new patients |
Locations
600 Grant St
Fl 58
Pittsburgh, PA 15219
Phone (412) 647-4054
9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325
32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100
3155 Lycoming Creek Rd
Williamsport, PA 17701
Phone (570) 244-1877
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
Interoperability endpoints
- rgombosi102634@upmc.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Williamsport, PA
- NPI 1154834927
PA
-
- Federally Qualified Health Center (FQHC)
- Laporte, PA
- NPI 1093520587
Hospital & facility affiliations 46
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": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1528078433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 LYCOMING CREEK RD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011032",
"telephone_number": "570-651-9263",
"fax_number": "570-651-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 LYCOMING CREEK RD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011032",
"telephone_number": "570-651-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMBOSI",
"first_name": "RUSSELL",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2025-12-02",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD043621L",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "PA",
"license": "MD043621L",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD043621L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "1866448",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "191328",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4626556",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgombosi102634@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.