Active NPI
Troy Matthew Russell, M.D.
- Family Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0065958
- Practice address
- 100 Fillmore St FL 5
Denver, CO 80206-4916 - Phone
- (617) 505-1520
- Fax
- (617) 928-8401
- NPI assigned
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | DR.0065958 | CO | Primary |
Addresses
Primary practice location
100 Fillmore St FL 5
Denver, CO 80206-4916
Mailing address
109 State St.
5TH FL
Boston, MA 02109-2906
Phone (617) 505-1520
Other practice location 1
109 State St.
5th FL
Boston, MA 02109-2906
Phone (617) 505-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, UT, NY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Healthy Life Physicians Group Pacific Northwest, P.C. | Family Medicine | Past | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403
Interoperability endpoints
- troy.russell@168064768409604.direct.elationemr.com
- troyrussell@tdh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1386260594
CO
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Family Medicine Physician
- Seattle, WA
- NPI 1558010132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1649513615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE ST.",
"address_2": "5TH FL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FILLMORE ST FL 5",
"city": "DENVER",
"state": "CO",
"postal_code": "802064916",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
}
],
"practiceLocations": [
{
"address_1": "109 State St.",
"address_2": "5th FL",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021092906",
"country_code": "US",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "TROY",
"middle_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0065958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.