Individual provider Active NPI

Karen R. Russell-Little, M.D.

  • Internal Medicine Physician
  • Bingham Farms, MI
National Provider Identifier
1841368370
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301084590 Issued in MI
Practice address
31500 Telegraph Rd Ste 240
Bingham Farms, MI 48025-4315
Phone
(248) 792-3690
Fax
(248) 792-3689
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084590 MI Primary

Addresses

Primary practice location

31500 Telegraph Rd Ste 240
Bingham Farms, MI 48025-4315

Mailing address

31500 Telegraph Rd Ste 240
Bingham Farms, MI 48025-4315
Phone (248) 792-3690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041110000321 MI Practitioner - Internal Medicine 5890758825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31500 Telegraph Rd
Suite 240
Bingham Farms, MI 48025-4315
Phone (248) 792-3690

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amity Internal Medicine, PC Internal Medicine CurrentSince Feb 23, 2016 Accepting new patients

Locations

31500 Telegraph Rd
Ste 240
Bingham Farms, MI 48025
Phone (248) 290-2700

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1841368370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254315",
            "telephone_number": "248-792-3690",
            "fax_number": "248-792-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254315",
            "telephone_number": "248-792-3690",
            "fax_number": "248-792-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-LITTLE",
        "first_name": "KAREN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.