Rebecca Jean Russell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-0024830 Issued in DE

Practice address

1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764

Phone

(302) 477-3300

Fax

(302) 477-3311

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Kutz Rehabilitation and Nursing Nursing home, Wilmington, DE, CCN 085043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Christiana Care Health Services Inc

  • Hospitalist Physician
  • Newark, DE
  • NPI 1245474329

  Family Medicine

  Medicare reassignment NPD
• Christiana Care Health Services Inc

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1760811681
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1619951068
  NPD
• Christiana Care Health Services Inc

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Christiana Care Health Services, Inc

  • Family Medicine Physician
  • Hockessin, DE
  • NPI 1134104565
  NPD (past)
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  NPD (past)

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

• Christiana Care Home Health and Community Services, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1437152154
  Care Compare affiliation Name & address match
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• The Milton and Hattie Kutz Home, Inc.

  • Skilled Nursing Facility
  • Wilmington, DE
  • NPI 1235135732

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1902365083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD STE 100B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032764",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD STE 100B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032764",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd Ste 5A43",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197181013",
            "country_code": "US",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0024830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Russel, RD
• Russell J Tibbetts DDS PA
• Bethany Ann Russell
• Charles Russell
• Courtney Nicole Russell, M.A., BCBA
• Frances Russo-Avena
• John N Russo, DDS
• Kimberly A. Russo, CRNA
• Nicholas J. Russo, D.M.D
• Sofia Danielle Russo, DO

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.