Russell James Van Coevering III, MD, MBA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

24047 Issued in NV

Practice address

1155 Mill St
Reno, NV 89502-1576

Phone

(775) 982-7878

Fax

(775) 982-4196

NPI assigned

May 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, OH2 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

Specialty

Neurology

Education

State University of New York at Buffalo School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

79.09

Promoting interoperability

100

Improvement activities

40

Cost

71.43

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rvancoevering199037@direct.renown.org

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.

• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  Neurology

  Medicare reassignment Care Compare group NPD
• Wheeling Hospital Inc

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1548923923
  Medicare reassignment Care Compare group NPD
• Barnesville Hospital Association, Inc.

  • Critical Access Hospital
  • Barnesville, OH
  • NPI 1235135450
  Medicare reassignment NPD
• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Medicare reassignment NPD
• Harrison Community Hospital, Inc.

  • Critical Access Hospital
  • Cadiz, OH
  • NPI 1134151137
  Medicare reassignment NPD
• St Josephs Hospital of Buckhannon Inc

  • Critical Access Hospital
  • Buckhannon, WV
  • NPI 1124005061
  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Medicare reassignment NPD
• Barnesville Hospital Association, Inc.

  • Rural Health Clinic/Center
  • Barnesville, OH
  • NPI 1134827546
  NPD
• Belmont County Health Services Inc

  • Community/Retail Pharmacy
  • Cadiz, OH
  • NPI 1588142806
  NPD
• Braxton County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gassaway, WV
  • NPI 1861580334
  NPD
• Harrison Community Hospital Inc

  • Anesthesiology Physician
  • Cadiz, OH
  • NPI 1477092955
  NPD
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD

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

• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1790213288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "address_2": "MS M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895215931",
            "country_code": "US",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN COEVERING",
        "first_name": "RUSSELL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CO",
            "license": "DR.0068498",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "24047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley of Golden Ages Corp.
• Valley Rehab of Nevada
• Morgan Taylor Van Ausdal, MSOT
• Daniel Van Bibber, MD
• Caryn Chanel Van Buren, APRN
• Cassandra Jean Van Deusen
• Lauren Louise Van Dover, APRN-CNP
• Martha Jenny Anja Van Duyne, MD
• Spencer Kilman Van Dyck
• Julianna Van Enk, PHARMD

• Neurology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.