NPIMap

Individual provider Active NPI

Russell Lewis Gombosi, MD

  • Internal Medicine Physician
  • Williamsport, PA
National Provider Identifier
1528078433
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD043621L Issued in PA
Practice address
3155 Lycoming Creek Rd
Williamsport, PA 17701-1032
Phone
(570) 651-9263
NPI assigned
Aug 9, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD043621L PA Primary
Pediatrics Physician 208000000X MD043621L PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 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

IdentifierTypeStateIssuer
1866448OtherPAUNITEDHEALTHCARE
191328OtherPAHIGHMARK BLUE SHIELD
4626556OtherPAAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000814 PA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Sleep Medicine 3476541814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine, Sleep 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 LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Open Arms Internal Medicine and Pediatrics, PCGroup PAC ID 4284995663, 3 clinicians
Upmc WellsboroGroup PAC ID 5294710414, shared by 4 NPIs, 22 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.69 of 100Reported as apm
Quality
85.57
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043621LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Internal Medicine & Pediatrics, PC CurrentSince Jan 15, 2018 Accepting new patients
Upmc Wellsboro Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Upmc Wellsboro CurrentSince May 1, 2021 Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients

Locations

600 Grant St
Fl 58
Pittsburgh, PA 15219
Phone (412) 623-2797

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325

3155 Lycoming Creek Rd
Williamsport, PA 17701
Phone (570) 244-1877

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Interoperability endpoints

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 46

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

View all 46

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": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD043621L",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "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

Verify at the official NPI Registry.