Individual provider Active NPI

Russell Philip Libby, MD

  • Urology Physician
  • Cypress, TX
National Provider Identifier
1902216740
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
S5214 Issued in TX
Practice address
24518 Northwest Fwy
Medical Office Building 2, Suite 445
Cypress, TX 77429-2904
Phone
(404) 909-5591
NPI assigned
May 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X S5214 TX Primary

Addresses

Primary practice location

24518 Northwest Fwy
Medical Office Building 2, Suite 445
Cypress, TX 77429-2904

Mailing address

506 Hunters Park LN
Houston, TX 77024-5411
Phone (404) 909-5591

Other practice location 1

9200 Pinecroft Dr Ste 280
Shenandoah, TX 77380-3281
Phone (281) 822-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 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
I20200521000254 TX Practitioner - Urology 0941631212 Reassigns benefits to 2 organizations
I20240308001321 TN Practitioner - Urology 0941631212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24518 Northwest Fwy
Medical Office BLDG 2 Suite 445
Cypress, TX 77429-2904
Phone (281) 822-4900

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5214TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverstone Urology Specialists PLLC Urology CurrentSince Dec 5, 2025 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 11, 2024 Accepting new patients
Russell Libby Urology PLLC Urology CurrentSince Nov 7, 2025 Accepting new patients
Yee Plastic Surgery, PLLC CurrentSince Dec 21, 2023 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
McAllen Hospitalist Group, PLLC CurrentSince Dec 22, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 11, 2024 Accepting new patients

Locations

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1 Medical Park Blvd
#3W
Bristol, TN 37620
Phone (423) 844-4240

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

24518 Northwest Fwy
Ste 445
Cypress, TX 77429
Phone (404) 909-5591

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

9200 Pinecroft Dr
Ste 280
Shenandoah, TX 77380
Phone (281) 296-9444

9305 Pinecroft Dr
Ste 303
The Woodlands, TX 77380
Phone (281) 943-2704

Interoperability endpoints

  • Direct secure messaging: rlibby334650@directhoustonmethodist.org
  • Direct secure messaging: russelllibby@nmhs.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEHAED/Endpoint/DEHAED

Organizations & group practices 7

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 10

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1902216740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HUNTERS PARK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770245411",
            "telephone_number": "404-909-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24518 NORTHWEST FWY",
            "address_2": "MEDICAL OFFICE BUILDING 2, SUITE 445",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292904",
            "telephone_number": "404-909-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Pinecroft Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803281",
            "country_code": "US",
            "telephone_number": "281-822-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "RUSSELL",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "S5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.