Active NPI
Russell S Sudbury, MD
- Family Medicine Physician
- Rhinelander, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29680
- Practice address
- 2251 N Shore Dr
Rhinelander, WI 54501-8360 - Phone
- (715) 361-4700
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29680 | WI | Primary |
Addresses
Primary practice location
2251 N Shore Dr
Rhinelander, WI 54501-8360
Mailing address
2251 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000
Hospital & facility affiliations
- Aspirus Tomahawk Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.84 of 100
- Quality
- 86.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
444 E Timber Dr
Rhinelander, WI 54501
Phone (715) 369-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
Interoperability endpoints
- rsudbury169517@direct.aspirus.org
Organizations & group practices 2
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.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Tomahawk, WI
- NPI 1558912469
Hospital
-
- Critical Access Hospital
- Tomahawk, WI
- NPI 1598715401
-
- Rural Health Clinic/Center
- Crandon, WI
- NPI 1699068692
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1548215312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545018360",
"telephone_number": "715-361-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545018360",
"telephone_number": "715-361-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDBURY",
"first_name": "RUSSELL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "29680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.