Russell Putnam, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

K0364 Issued in TX

Practice address

12554 Riata Vista Cir
Austin, TX 78727-6431

Phone

(512) 795-5100

Fax

(512) 795-5122

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

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

Diagnostic Radiology

Education

University of Texas Medical School at San Antonio, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David'S Medical Center Hospital, Austin, TX, CCN 450431
• St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
• Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Austin Radiological Association

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1033196464

  TX

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  Neuroradiology, TX

  Medicare reassignment Care Compare group NPD
• Ara/St. David'S Imaging, LP

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1225015530
  NPD
• Ara/St. David'S Imaging, LP

  • Radiology Clinic/Center
  • Georgetown, TX
  • NPI 1528373636
  NPD
• Ara/St. David'S Imaging, LP

  • Radiology Clinic/Center
  • Round Rock, TX
  • NPI 1720065170
  NPD
• Ara/St. David'S Imaging, LP

  • Mobile Radiology Clinic/Center
  • Austin, TX
  • NPI 1851570592
  NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1487811766

  Diagnostic Radiology

  NPD
• Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1346244688
  NPD (past)
• Texas Orthopedics, Sports & Rehabilitation Associates, PA

  • Orthopaedic Surgery Physician
  • Bastrop, TX
  • NPI 1467088567
  NPD (past)
• Parkwest Imaging, L.L.C

  • Diagnostic Radiology Physician
  • Pueblo, CO
  • NPI 1790730810

  Diagnostic Radiology

  NPD (past)
• Pueblo Imaging Center, LLC

  • Specialist
  • Pueblo, CO
  • NPI 1497713960
  NPD (past)
• Radiology Associates

  • Specialist
  • Pueblo, CO
  • NPI 1043206311

  Diagnostic Radiology

  NPD (past)

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

• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786

  Hospital

  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033

  Hospital

  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301

  Hospital

  Care Compare affiliation
• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1649223645

  Hospital

  Care Compare affiliation
• St. David'S Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1679528889

  Hospital

  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1639173263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "K0364",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K0364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141288404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "300133594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN2",
            "identifier": "141288408",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "300133592",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141288403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN1",
            "identifier": "141288406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Joseph Puryear, PHARMD
• Sanjana Puthigai
• Houston Paul Putman III, MD
• Jamie Lynn Putnam, M.S., CCCSLP
• Madeleine Putnam
• Mathew J Putzi, MD
• PWN Remote Care Services, PA
• Kathryne Elizabeth Pyle
• Jenna Pywell, LCSW
• Saeedah Qadeer, CPNP-PC

• All providers in Austin, TX
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.