Individual provider Active NPI

Russell Falkner Palm, M.D.

  • Radiation Oncology Physician
  • Columbus, OH
National Provider Identifier
1710418728
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.151122 Issued in OH
Practice address
460 W 10TH Ave FL 2
Columbus, OH 43210-1240
Phone
(614) 293-8415
Fax
(614) 293-4044
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME156577 FL
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 35.151122 OH Primary

Addresses

Primary practice location

460 W 10TH Ave FL 2
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8415

Other practice location 1

697 Thomas Ln
Columbus, OH 43214-3931
Phone (614) 566-5414

Other practice location 2

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (813) 745-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address russell.palm@direct.moffitt.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240822003860 OH Practitioner - Radiation Oncology 1153690987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Toledo College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Radiation Oncology LLCGroup PAC ID 8123076023, 47 clinicians

Practice addresses (Care Compare)

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8415

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156577FLMDInternal Medicine Physician
35.151122OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Radiation Oncology LLC Radiation Oncology CurrentSince Aug 1, 2024 Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

460 W 10th Ave
Fl 2
Columbus, OH 43210
Phone (614) 293-8515

300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276

460 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3196

Interoperability endpoints

  • Direct secure messaging: rpalm1230809@direct.osumc.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1710418728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8415",
            "fax_number": "614-293-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8415",
            "fax_number": "614-293-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "697 Thomas Ln",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143931",
            "country_code": "US",
            "telephone_number": "614-566-5414",
            "fax_number": "614-533-0433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12902 Usf Magnolia Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336129416",
            "country_code": "US",
            "telephone_number": "813-745-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALM",
        "first_name": "RUSSELL",
        "middle_name": "FALKNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156577",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.151122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russell.palm@direct.moffitt.org",
            "affiliation": "N",
            "address_1": "12902 Usf Magnolia Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336129416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.