NPIMap

Individual provider Active NPI

Ron C. Russell, M.D.

  • Hospitalist Physician
  • Meridian, MS
National Provider Identifier
1710969472
Registry record updated Nov 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
11080 Issued in MS
Practice address
1314 19TH Ave
Meridian, MS 39301-4116
Phone
(601) 703-4078
Fax
(601) 703-4065
NPI assigned
Nov 17, 2005
Last updated
Nov 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11080 MS
Hospitalist Physician 208M00000X 11080 MS Primary

Addresses

Primary practice location

1314 19TH Ave
Meridian, MS 39301-4116

Mailing address

PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-4282

Other identifiers 4

IdentifierTypeStateIssuer
00119498MedicaidMS
009811080MedicaidAL
731-02318OtherBLUE CROSS OF AL
110167818OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000218 MS Practitioner - Internal Medicine 6901921931 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians
Rush Medical FoundationGroup PAC ID 2567368541, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

603 S Archusa Ave
Ochsner Health Center Quitman
Quitman, MS 39355-2331
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355-2331
Phone (601) 776-6925

905 C S Frontage Rd
Ochsner Urgent Care Meridian
Meridian, MS 39301-6113
Phone (601) 482-4955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.18 of 100Reported as group
Quality
78.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.8 of 100Reported as individual
Quality
85
Improvement activities
0
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11080MSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. CurrentSince May 1, 2018 Accepting new patients
Kemper Cah, Inc CurrentSince May 1, 2018 Accepting new patients
Kemper Cah, Inc. CurrentSince May 1, 2018 Accepting new patients
Laird Hospital, Inc. CurrentSince May 1, 2018 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. Internal Medicine CurrentSince Sep 22, 1998 Accepting new patients
Scott Regional Medical Center, Inc CurrentSince May 1, 2018 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince May 1, 2018 Accepting new patients
Kemper Cah, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Medical Foundation, Inc. CurrentSince Sep 22, 1998 Accepting new patients
Rush Medical Foundation CurrentSince May 1, 2018 Accepting new patients
Laird Hospital, Inc. Hospitalist Current Accepting new patients
Rush Medical Foundation CurrentSince May 1, 2018 Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 15

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.

View all 15

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383955200000",
    "number": "1710969472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5183",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025183",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-4078",
            "fax_number": "601-703-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RON",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "11080",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "11080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119498",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009811080",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "731-02318",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110167818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.