Russell W Becker, D.O.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

OS12827 Issued in FL

Practice address

1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596

Phone

(239) 431-5884

Fax

(239) 631-6907

NPI assigned

Jan 25, 2006

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular Surgery

Education

Philadelphia College of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Center of Naples IncGroup PAC ID 5890043491, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17908/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HJHGDD
• Direct secure messaging: russell.becker.1@17908.direct.athenahealth.com
• Direct secure messaging: russell.becker@vconi.eclinicaldirectplus.com

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.

• Vascular Center of Naples Inc.

  • Vascular Surgery Physician
  • Naples, FL
  • NPI 1114417508
  Medicare reassignment Care Compare group NPD
• Naples Vascular Specialists LLC

  • Vascular Surgery Physician
  • Naples, FL
  • NPI 1659710556
  Medicare reassignment NPD

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

• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regiona Medical Center-Collier

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regional Medical Center-Pine Ridge

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1710957485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-431-5884",
            "fax_number": "239-631-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-431-5884",
            "fax_number": "239-631-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS12827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "16508",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris E. Beck, MSW, LCSW
• Erin Colleen Beck, MSN, NP
• Kimberly Beck, RDH, BS
• Jasmine Becker, BEHAVIOR TECHNICIAN
• Michelle L Becker, M.D.
• Susan Marie Becker, R.N.
• Thomas A Beckett, M.D
• William Edwin Beckwith, PH.D.
• Colleen Bedford, CRNA
• Celine Karakian Bedrosian

• Vascular Surgery Physician in Naples, FL
• Providers in Naples, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.