Active NPI
Thomas Matthew Russo, MD
- Anesthesiology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 267850
- Practice address
- 736 Irving Ave
Syracuse, NY 13210-1602 - Phone
- (315) 470-7111
- NPI assigned
- Jan 28, 2011
- 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 | 267850 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Syracuse, NY 13210-1602
Mailing address
1656 Champlin Ave
New Hartford, NY 13413-1068
Other practice location 1
1656 Champlin Ave
New Hartford, NY 13413-1068
Phone (111) 111-1111
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trusso210193@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | trusso210193@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Louisville School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
- Wynn Hospital
- Crouse Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
601 Elmwood Ave
#320
Rochester, NY 14642
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
116 Business Park Dr
Ste 1
Utica, NY 13502
Phone (315) 624-7000
Interoperability endpoints
- tpfeiffer13004@mvhealthsystem.direct-ci.com
- trusso210193@direct.urmc.rochester.edu
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1720384332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVE",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101602",
"telephone_number": "315-470-7111"
}
],
"practiceLocations": [
{
"address_1": "1656 Champlin Ave",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134131068",
"country_code": "US",
"telephone_number": "111-111-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSO",
"first_name": "THOMAS",
"middle_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-28",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "267850",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trusso210193@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trusso210193@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.