NPIMap

Individual provider Active NPI

Douglas Russell, DO

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1912343096
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R6890 Issued in TX
Practice address
3327 Research PLZ Ste 403
San Antonio, TX 78235
Phone
(210) 337-6228
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X R6890 TX Primary

Addresses

Primary practice location

3327 Research PLZ Ste 403
San Antonio, TX 78235

Mailing address

7909 Fredericksburg Rd Ste 110
San Antonio, TX 78229-3400
Phone (210) 614-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719001010 TX Practitioner - Urology 3476842360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology San Antonio P aGroup PAC ID 3274429311, 42 clinicians

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

3327 Research PLZ
Suite 403
San Antonio, TX 78235-5159
Phone (210) 580-5505

5001 S Cooper St
Suite 201
Arlington, TX 76017-5993

7718 Pasteur CT
San Antonio, TX 78229-3473
Phone (210) 447-9060

7909 Fredericksburg Rd
San Antonio, TX 78229-3400
Phone (210) 614-4544

945 Hilltop Dr
Suite 100
Weatherford, TX 76086-5892
Phone (866) 367-8768

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6890TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Partners of North Texas, PLLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Urology San Antonio P a Multi-Specialty CurrentSince Jul 5, 2018 Accepting new patients
Urology San Antonio PA Multi-Specialty CurrentSince Jul 5, 2018 Accepting new patients
Urology Partners of North Texas, PLLC Multi-Specialty Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

5001 S Cooper St
Ste 201
Arlington, TX 76017

3327 Research Plz
Ste 403
San Antonio, TX 78235
Phone (210) 337-6228

7909 Fredericksburg Rd
Ste 110
San Antonio, TX 78229
Phone (210) 614-9603

7909 Fredericksburg Rd
Ste 233
San Antonio, TX 78229
Phone (210) 521-7700

945 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 550-6332

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/

Organizations & group practices 4

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 7

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1912343096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293400",
            "telephone_number": "210-614-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RESEARCH PLZ STE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78235",
            "telephone_number": "210-337-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "R6890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.