Active NPI
Russell Van Husen, M.D.
- Vascular Surgery Physician
- Midland, TX
National Provider Identifier
1912101361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- M6927
- Practice address
- 2405 W Missouri Ave
Midland, TX 79701-6800 - Phone
- (432) 697-1061
- Fax
- (432) 697-7089
- NPI assigned
- Jun 11, 2007
- Last updated
- Apr 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M6927 | TX | |
| Trauma Surgery Physician | 2086S0127X | M6927 | TX | |
| Vascular Surgery Physician | 2086S0129X | M6927 | TX | Primary |
Addresses
Primary practice location
2405 W Missouri Ave
Midland, TX 79701-6800
Mailing address
2405 W Missouri Ave
Midland, TX 79701-6800
Phone (432) 697-1061
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J7359 | Other | TX | MEDICARE PROVIDER NUMBER |
| 8J0221 | Other | TX | BLUE CROSS BLUE SHIELD |
| 81521235 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2405 W Missouri Ave
Midland, TX 79701-6800
Phone (432) 697-1061
Hospital & facility affiliations
- Excelacare Home Health
- Encompass Health Home Health
- Midland Memorial Hospital
- Medical Center Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.45 of 100
- Quality
- 59.99
- Improvement activities
- 40
- Cost
- 84.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
| Varicose vein removal | 86 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Surgical Associates, P.a. | Surgery | Current | Accepting new patients |
Locations
2405 W Missouri Ave
Midland, TX 79701
Phone (432) 683-2723
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Midland, TX
- NPI 1356452668
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MCH Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
dba Medical Center Hospital
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
dba Excelacare Home Health
- Home Health Agency
- Lubbock, TX
- NPI 1710927983
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1912101361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 W MISSOURI AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016800",
"telephone_number": "432-697-1061",
"fax_number": "432-697-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 W MISSOURI AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016800",
"telephone_number": "432-697-1061",
"fax_number": "432-697-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HUSEN",
"first_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M6927",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "M6927",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "M6927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "8J7359",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8J0221",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81521235",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.