NPIMap

Individual provider Active NPI

James W Russell, MD

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1841371978
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0065015 Issued in MD
Practice address
16 S Eutaw St
Frenkil BLDG. 3Rd FL.
Baltimore, MD 21201-1606
Phone
(410) 328-4323
Fax
(410) 328-1149
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0065015 MD Primary
Clinical Neurophysiology Physician 2084N0600X D0065015 MD

Addresses

Primary practice location

16 S Eutaw St
Frenkil BLDG. 3Rd FL.
Baltimore, MD 21201-1606

Mailing address

16 S Eutaw St
Frenkil BLDG. 3Rd FL.
Baltimore, MD 21201-1606
Phone (410) 328-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070307000030 MD Practitioner - Neurology 7810090123 Reassigns benefits to 1 organization
I20220516000094 WV Practitioner - Neurology 7810090123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

415 Morris St
Suite 300
Charleston, WV 25301-1853
Phone (304) 388-6441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065184MIMDFamily Medicine Physician
D0065015MDMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurology Associates, P.a. CurrentSince Nov 1, 2006 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Nov 1, 2006 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 5, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 5, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16 S Eutaw St
Bldg 3F
Baltimore, MD 21201

16 S Eutaw St
Bldg 3RD
Baltimore, MD 21201
Phone (410) 328-3037

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

415 Morris St
Ste 300
Charleston, WV 25301
Phone (304) 345-6303

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 5

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 11

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1841371978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "FRENKIL BLDG. 3RD FL.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-4323",
            "fax_number": "410-328-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "FRENKIL BLDG. 3RD FL.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-4323",
            "fax_number": "410-328-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0065015",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "D0065015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.