NPIMap

Individual provider Active NPI

Adam Kelsey Russon, DO

  • Urology Physician
  • Henderson, NV
National Provider Identifier
1922560648
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DO3718 Issued in NV
Practice address
2310 Corporate Cir Ste 200
Henderson, NV 89074-7729
Phone
(702) 735-8000
Fax
(702) 563-2937
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 DO3718 NV Primary

Addresses

Primary practice location

2310 Corporate Cir Ste 200
Henderson, NV 89074-7729

Mailing address

7500 Smoke Ranch Rd Ste 200
Las Vegas, NV 89128-0373
Phone (702) 233-0727

Other practice location 1

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240805003308 NV Practitioner - Urology 9335476696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Vegas Urology LLPGroup PAC ID 5294713335, 51 clinicians

Practice addresses (Care Compare)

2310 Corporate Cir
Suite 200
Henderson, NV 89074-7729
Phone (702) 735-8000

Hospital & facility affiliations

  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
90.39
Improvement activities
40
Cost
78.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Urology LLP Urology CurrentSince Sep 1, 2024 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

2310 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 385-4342

7500 Smoke Ranch Rd
Ste 200
Las Vegas, NV 89128
Phone (702) 233-0727

7150 W Sunset Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 341-9000

Interoperability endpoints

  • Direct secure messaging: adamrusson@lvu.medalliesdirect.net

Organizations & group practices 2

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 5

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1922560648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SMOKE RANCH RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280373",
            "telephone_number": "702-233-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CORPORATE CIR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747729",
            "telephone_number": "702-735-8000",
            "fax_number": "702-563-2937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSON",
        "first_name": "ADAM",
        "middle_name": "KELSEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "DO3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.