Active NPI
Frank M. Russo, M.D.
- Anesthesiology Physician
- Delray Beach, FL
National Provider Identifier
1679543862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME78954
- Practice address
- 5352 Linton Blvd.
Delray Beach, FL 33484-6514 - Phone
- (561) 498-1754
- Fax
- (561) 327-2674
- NPI assigned
- Jan 23, 2006
- Last updated
- Mar 21, 2016
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME78954 | FL | Primary |
Addresses
Primary practice location
5352 Linton Blvd.
Delray Beach, FL 33484-6514
Mailing address
P.O. Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58400 | Other | FL | BLUE CROSS |
| 277019900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061207000147 | FL | Practitioner - Anesthesiology | 7113909797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Anesthesia, PC | Anesthesiology | Past | Accepting new patients |
| Premier Pain Centers, LLC. | Past | Accepting new patients | |
| Charlotte Harbor Anesthesia PA | Anesthesiology | Past | Accepting new patients |
| Specialty Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1912012642
-
- Anesthesiology Physician
- Freehold, NJ
- NPI 1548214075
-
- Pain Medicine (Anesthesiology) Physician
- Shrewsbury, NJ
- NPI 1801987078
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1932290111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1679543862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "855-851-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5352 LINTON BLVD.",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846514",
"telephone_number": "561-498-1754",
"fax_number": "561-327-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "FRANK",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME78954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "58400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277019900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.