Individual provider Active NPI

Darius Giles Russin, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Temple, TX
National Provider Identifier
1790798981
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
036074934 Issued in IL
Practice address
VA Health Care System
Temple, TX 76501
Phone
(254) 297-3322
Fax
(254) 297-3411
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C162909 CA
Family Medicine Physician 207Q00000X 157082 NY
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036074934 IL Primary

Addresses

Primary practice location

VA Health Care System
Temple, TX 76501

Mailing address

3510 Red River St
Austin, TX 78705-1832
Phone (254) 297-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20220426002923 CA Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Geriatric Medicine 7810928025 Reassigns benefits to 1 organization
I20220526001780 TX Practitioner - Family Practice 7810928025

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

P O Box
Suite 848299
Los Angeles, CA 90084

PO Box
Los Angeles, CA 90084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C162909CAMDFamily Medicine Physician
157082NYMDFamily Medicine Physician
036074934ILMDGeriatric Medicine (Family Medicine) Physician
036112783ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daiya Healthcare PLLC CurrentSince Feb 7, 2022 Accepting new patients

Locations

5201 Norris Canyon Rd
San Ramon, CA 94583
Phone (206) 426-2584

2215 Oakmont Way
West Sacramento, CA 95691
Phone (916) 371-1890

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Organizations & group practices 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1790798981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051832",
            "telephone_number": "254-297-3322",
            "fax_number": "254-297-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA HEALTH CARE SYSTEM",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76501",
            "telephone_number": "254-297-3322",
            "fax_number": "254-297-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSIN",
        "first_name": "DARIUS",
        "middle_name": "GILES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C162909",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "157082",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036074934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.