Scott Anthony Russell, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H4662 Issued in TX

Practice address

3201 S Austin Ave
Ste 330
Georgetown, TX 78626-7545

Phone

(512) 864-3183

Fax

(512) 930-3409

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General SurgeryAlso: Peripheral Vascular Disease

Education

University of Texas Southwestern Medical School at Dallas, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vohra Post Acute Care Physicians of Texas, PLLCGroup PAC ID 0042447682, 41 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vohra Post Acute Care Physicians of Texas, PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1821424789
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1790781706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "STE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814307",
            "telephone_number": "512-244-0111",
            "fax_number": "512-244-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "STE 330",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-864-3183",
            "fax_number": "512-930-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H4662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117275102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4232187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Ruiz
• Gia Giambelluca Ruppert, RN, CPW
• Bonnie Russell
• Joan Colleen Russell, LPC
• Kathryn Russell
• Ryan K Bergeson MD PA
• Paula Grigar Rychlik, PHARM.D.
• Suja Maria Sabastin, M.D.
• Mohammed Hassan Sabbagh, MD
• Rachel Saenger, MA

• Surgery Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.