Mark Russo, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD049367 Issued in DC

Practice address

1133 21St St NW FL 5
Washington, DC 20036-3390

Phone

(202) 416-2000

Fax

(202) 785-5040

NPI assigned

Jun 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Otolaryngology

Education

Georgetown University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
• Medstar National Rehabilitation Hospital Inpatient rehabilitation facility, Washington, DC, CCN 093025

Merit-based Incentive Payment System (MIPS)

Final score

82.34 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

69.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

• Medstar - Georgetown Medical Center, Inc.

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1427145176
  Care Compare affiliation
• National Rehabilitation Hospital Inc

  • Rehabilitation Hospital
  • Washington, DC
  • NPI 1528061827

  Inpatient rehabilitation facility

  Care Compare affiliation
• National Rehabilitation Hospital Inc

  • Rehabilitation Clinic/Center
  • Oxon Hill, MD
  • NPI 1578639761

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1619357282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 21ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 21ST ST NW FL 5",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363390",
            "telephone_number": "202-416-2000",
            "fax_number": "202-785-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD049367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanaa Russell
• Saqueita Russell, LPC
• Shanelle Russell
• Wyna Russell
• Peter Russem, PH.D.
• Paula Russo, D.D.S., M.S.
• Kristen L Russomanno, MD
• John Russotto, LCSW
• Tarianda Ruston, LICSW, LCSW-C
• Marc Ruszaj, MD

• Otolaryngology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Otolaryngology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.