Individual provider Active NPI

Floyd Brian Russak, M.D.

  • Internal Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1902898984
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35559 Issued in CO
Practice address
8200 E Belleview Ave Ste 203C
Greenwood Village, CO 80111-2803
Phone
(303) 694-5757
Fax
(303) 741-1387
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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 35559 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave Ste 203C
Greenwood Village, CO 80111-2803

Mailing address

9 Red Tail Dr
Highlands Ranch, CO 80126-5000
Phone (303) 694-5757

Other identifiers 1

IdentifierTypeStateIssuer
14834863MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20060105000377 CO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 3173587706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East West Family Health LLCGroup PAC ID 6002165933, 4 clinicians

Practice addresses (Care Compare)

5420 S Quebec St
Suite 100
Greenwood Village, CO 80111-1902
Phone (303) 221-6797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.11 of 100Reported as individual
Quality
77.11
Improvement activities
40
Cost
60.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35559COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East West Family Health LLC Internal Medicine CurrentSince Jun 30, 2018 Accepting new patients

Locations

3464 S Willow St
Ste 272
Denver, CO 80231

5420 S Quebec St
Ste 100
Greenwood Village, CO 80111
Phone (303) 221-6796

8200 E Belleview Ave
Ste 203C
Greenwood Village, CO 80111
Phone (303) 221-6796

Interoperability endpoints

  • Direct secure messaging: floyd.russak.1@16653.direct.athenahealth.com

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 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1902898984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RED TAIL DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265000",
            "telephone_number": "303-694-5757",
            "fax_number": "303-741-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 203C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-694-5757",
            "fax_number": "303-741-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSAK",
        "first_name": "FLOYD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "35559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14834863",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.