Individual provider Active NPI

Evan T Russell, MD

  • Interventional Cardiology Physician
  • Columbus, IN
National Provider Identifier
1609039973
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01068153A Issued in IN
Practice address
2325 18TH St Ste 130
Columbus, IN 47201-5387
Phone
(812) 379-2020
NPI assigned
Jul 8, 2008
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01068153A IN Primary
Hospitalist Physician 208M00000X 01068153A IN

Addresses

Primary practice location

2325 18TH St Ste 130
Columbus, IN 47201-5387

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other identifiers 1

IdentifierTypeStateIssuer
201012920MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erussell8019@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110608000564 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 7012194632 Reassigns benefits to 2 organizations
I20141009002653 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7012194632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 W 2ND St
Seymour, IN 47274-2760
Phone (812) 379-2020

2325 18TH St
Suite 130
Columbus, IN 47201-5387
Phone (812) 379-2020

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 376-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Interventional Cardiology CurrentSince Sep 1, 2014 Accepting new patients
Columbus Regional Health Physicians, LLC Hospitalist CurrentSince Feb 27, 2017 Accepting new patients
Riverview Physician Practices, LLC CurrentSince Dec 1, 2015 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Mar 1, 2018 Accepting new patients
Major Hospital Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Saint Thomas Cardiology Consultants, PC Past Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2325 18th St
Ste 130
Columbus, IN 47201
Phone (812) 379-2020

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

1125 W Jefferson St
Bldg 1155
Franklin, IN 46131
Phone (317) 736-3300

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

955 N Michigan Ave
Ste 5
Greensburg, IN 47240

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

31 E Poplar St
North Vernon, IN 47265
Phone (812) 376-3311

225 S Pine St
Ste 330
Seymour, IN 47274
Phone (800) 537-9587

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

133 Hospital Dr
Ste 700
Carthage, TN 37030
Phone (615) 588-1015

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

14 Main St E
Ste B
Gordonsville, TN 38563
Phone (615) 588-1015

5651 Frist Blvd
Ste 603
Hermitage, TN 37076
Phone (615) 889-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

Interoperability endpoints

  • Direct secure messaging: erussell8019@edirect.crh.org

Organizations & group practices 8

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 2

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1609039973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 18TH ST STE 130",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015387",
            "telephone_number": "812-379-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "EVAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01068153A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01068153A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201012920",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erussell8019@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "2325 18th St",
            "address_2": "Suite 130",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.