Individual provider Active NPI

Russell Wayne Dowell, DO

  • Emergency Medicine Physician
  • San Francisco, CA
National Provider Identifier
1730703604
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102207987 Issued in VA
Practice address
Eden Emergency Medicine Group, 20103 Lake Chabot Rd
San Francisco, CA 94546
Phone
(510) 727-3320
NPI assigned
Jun 5, 2020
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102207987 VA Primary

Addresses

Primary practice location

Eden Emergency Medicine Group, 20103 Lake Chabot Rd
San Francisco, CA 94546

Mailing address

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230727001673 VA Practitioner - Emergency Medicine 6608292461 Reassigns benefits to 2 organizations
I20241001003148 CA Practitioner - Emergency Medicine 6608292461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eden Emergency Medical Group IncGroup PAC ID 7012802333, 27 clinicians

Practice addresses (Care Compare)

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 537-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
86.75
Improvement activities
40
Cost
77.68

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207987VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2023 Accepting new patients
Eden Emergency Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Interoperability endpoints

  • Direct secure messaging: rdowell692210@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1730703604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20103 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-727-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDEN EMERGENCY MEDICINE GROUP, 20103 LAKE CHABOT RD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94546",
            "telephone_number": "510-727-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "RUSSELL",
        "middle_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102207987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.