Individual provider Active NPI

Maureen M Russell, M.D.

  • Obstetrics & Gynecology Physician
  • Sewickley, PA
National Provider Identifier
1740323955
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD059426L Issued in PA
Practice address
301 Ohio River Blvd Ste 301
Sewickley, PA 15143-1300
Phone
(412) 741-6530
Fax
(412) 741-9274
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD059428L PA
Obstetrics & Gynecology Physician 207V00000X MD059426L PA Primary

Addresses

Primary practice location

301 Ohio River Blvd Ste 301
Sewickley, PA 15143-1300

Mailing address

301 Ohio River Blvd Ste 301
Sewickley, PA 15143-1300
Phone (412) 741-6530

Other identifiers 4

IdentifierTypeStateIssuer
103987OtherPAUPMC NUMBER
PA STATE LICENSEOtherPAMD059428L
0015932440003MedicaidPA
RU882557OtherPABLUE SHIELD ID NUBMER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060323000130 PA Practitioner - Obstetrics/Gynecology 9032127717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059428LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Obstetrics & Gynecology CurrentSince May 5, 2022 Accepting new patients
Allegheny Clinic CurrentSince May 5, 2022 Accepting new patients

Locations

901 E Brady St
Ste 100
Butler, PA 16001
Phone (724) 285-9200

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

301 Ohio River Blvd
Ste 301
Sewickley, PA 15143
Phone (412) 741-6530

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1740323955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 301",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-6530",
            "fax_number": "412-741-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 301",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-6530",
            "fax_number": "412-741-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MAUREEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD059428L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD059426L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC NUMBER",
            "identifier": "103987",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD059428L",
            "identifier": "PA STATE LICENSE",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015932440003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID NUBMER",
            "identifier": "RU882557",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.