Active NPI
Darius Giles Russin, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 036074934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| C162909 | CA | MD | Family Medicine Physician |
| 157082 | NY | MD | Family Medicine Physician |
| 036074934 | IL | MD | Geriatric Medicine (Family Medicine) Physician |
| 036112783 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daiya Healthcare PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.