Russell Allen Disch

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5504 Menaul Blvd NE Ste F
Albuquerque, NM 87110-3184

Phone

(505) 348-2868

NPI assigned

Jun 3, 2021

Last updated

Jun 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.51 of 100Reported as group

Quality

93.17

Promoting interoperability

93

Improvement activities

40

Cost

74.35

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duke City Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1790185577
  Medicare reassignment
• New Mexico Oncology Hematology Consultants, LTD.

  • Hematology & Oncology Physician
  • Albuquerque, NM
  • NPI 1164475232
  Medicare reassignment
• Nextcare New Mexico LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1619300118
  Medicare reassignment
• Southwest Emergency Medical Associates of NM PC

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1720505571
  Medicare reassignment
• Lovelace Urgent Care, LLC

  dba Lovelace Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1932911351
  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1881260388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 REDONDO SIERRA VIS NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440607",
            "telephone_number": "505-228-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 MENAUL BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103184",
            "telephone_number": "505-348-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCH",
        "first_name": "RUSSELL",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://princetonplacenm.com/",
            "affiliation": "N",
            "address_1": "500 Louisiana Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871082051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Geer Diraddo, ED PSYC
• Virginia Diraddo
• Marsha Director
• Dirt Lot Services LLC
• Disabled Veterans Reference Labs Inc
• Michel B Disco, RPH
• Discovering Greatness, LLC
• Disease Management Clinic (Sandia National Laboratories)
• Marie Disho Andrada, PHARM D
• Mary Lindgren Dishongh, D.O.M.

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.