Individual provider Active NPI

Russell Gerald Gelormini, D.O.

  • Diagnostic Radiology Physician
  • Boerne, TX
National Provider Identifier
1932194545
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P0590 Issued in TX
Practice address
27817 Legacy Woods
Boerne, TX 78015-4995
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Sep 20, 2005
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P0590 TX Primary
Diagnostic Radiology Physician 2085R0202X OS9283 FL
Diagnostic Radiology Physician 2085R0202X 036115069 IL

Addresses

Primary practice location

27817 Legacy Woods
Boerne, TX 78015-4995

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, GA, TX, NV, MS, MO, CA, VA, IL, IA, SC, NC, NJ, NY, KS16 enrollments
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 16

Enrollment IDStateProvider typePAC IDDetails
I20050516000102 FL Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 3 organizations
I20080724000250 PA Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 1 organization
I20110523000283 GA Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 5 organizations
I20120806000906 TX Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 29 organizations
I20130729000285 NV Practitioner - Diagnostic Radiology 7719928217
I20130805000811 MS Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 1 organization
I20140521002383 MO Practitioner - Diagnostic Radiology 7719928217
I20140612002210 CA Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 1 organization
I20140702001714 VA Practitioner - Diagnostic Radiology 7719928217
I20140811001961 IL Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 3 organizations
I20181012001742 IA Practitioner - Diagnostic Radiology 7719928217
I20190128000013 SC Practitioner - Diagnostic Radiology 7719928217
I20201019000345 NC Practitioner - Diagnostic Radiology 7719928217
I20210201002006 NJ Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 1 organization
I20250226002400 NY Practitioner - Diagnostic Radiology 7719928217 Reassigns benefits to 1 organization
I20250621000257 KS Practitioner - Diagnostic Radiology 7719928217

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Lifebrite Hospital Group of Early LLCGroup PAC ID 7810263589, shared by 6 NPIs, 9 clinicians
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, shared by 11 NPIs, 498 clinicians
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians
Methodist-CdiGroup PAC ID 3072836600, 43 clinicians
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

Irving, TX 75038
Phone (972) 870-5511

Dallas, TX 75252
Phone (239) 936-2316

Whitehouse, TX 75791
Phone (480) 306-6949

Boerne, TX 78015
Phone (239) 936-2316

11045 Columbia St
Blakely, GA 39823-3447
Phone (229) 723-4313

11375 S Sam Houston Pkwy W
150 Simonmed Imaging Beltway
Houston, TX 77031-2347
Phone (346) 335-8561

11740 Columbia St
Blakely, GA 39823-2574
Phone (229) 724-4282

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (407) 738-4085

135 Ave G
Apalachicola, FL 32320-1613
Phone (850) 653-8853

1501 River Pointe Dr
Suite 180
Conroe, TX 77304-2865
Phone (832) 838-4185

16550 Southwest Fwy
Suite C
Sugar Land, TX 77479-2328
Phone (346) 900-8010

17191 St Lukes Way
110 Simonmed Imaging College Park
The Woodlands, TX 77384-8043
Phone (281) 720-8600

1750 N Hampton Rd
Desoto, TX 75115-2306
Phone (214) 420-5400

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000

2256 W Holcombe Blvd
Simonmed Imaging Med Center
Houston, TX 77030-2008
Phone (346) 335-8519

22751 Professional Dr
Suite 150
Kingwood, TX 77339-6021
Phone (346) 662-2130

23818 Hwy 59 N
Simonmed Imaging Northpark
Kingwood, TX 77339-1510
Phone (346) 323-7125

24600 Katy Fwy
Katy, TX 77494-7805
Phone (346) 527-0245

24721 State Hwy 249
Suite 150
Tomball, TX 77375-7727
Phone (346) 336-7700

27817 Legacy Woods
Boerne, TX 78015-4995
Phone (209) 943-2000

2975 E Broad St
Suite 101
Mansfield, TX 76063-9147
Phone (214) 420-5445

4105 Prosper LN
Austin, TX 78731-4409
Phone (480) 306-6949

4140 E Renner Rd
Suite 100
Richardson, TX 75082-2807
Phone (972) 920-0115

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9283FLMDDiagnostic Radiology Physician
036115069ILMDDiagnostic Radiology Physician
1229SCMDPhysical Therapy Assistant

Practice roles (60 of 111)

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Current Accepting new patients
Titus County Hospital District CurrentSince Jan 3, 2025 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Sep 26, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Apr 24, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 31, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Cal Devon Urgent Care Inc Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Mississippi State Hospital CurrentSince Oct 1, 2025 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
West Hills Open MRI & Imaging Center, Inc Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Lifebrite Hospital Group of Early LLC CurrentSince May 17, 2025 Accepting new patients
Shores Diagnostic LLC CurrentSince Jul 29, 2020 Accepting new patients
Mobile Images Acquisition, LLC CurrentSince Jan 17, 2011 Accepting new patients
BTX Koi Inc CurrentSince Jan 1, 2016 Accepting new patients
Mobile Xray Diagnostics LLC CurrentSince Dec 28, 2020 Accepting new patients
Ultra Healthcare Services, Inc CurrentSince Jul 2, 2023 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
National Mobile X-Ray LLC CurrentSince Sep 1, 2018 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Mobile X-Ray of Austin Inc CurrentSince Apr 13, 2021 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Mobile Visions Inc CurrentSince May 7, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 5, 2021 Accepting new patients
Buchmann Biomedical Imaging LLC CurrentSince Mar 13, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jun 16, 2025 Accepting new patients
Calera Inc CurrentSince Mar 7, 2025 Accepting new patients
Quality Medical Imaging of Utah, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Jan 5, 2024 Accepting new patients
Biotech X-Ray Inc CurrentSince Jan 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Dec 22, 2022 Accepting new patients
City of Hope Medical Group of Georgia LLC Diagnostic Radiology CurrentSince Jan 7, 2014 Accepting new patients
American Health W LLC CurrentSince Feb 15, 2024 Accepting new patients
Martin County Hospital District CurrentSince May 1, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Mississippi State Hospital at Whitfield CurrentSince Oct 1, 2025 Accepting new patients
Fisher County Hospital District CurrentSince Dec 1, 2024 Accepting new patients
X-Ray on Wheels, Inc. CurrentSince Dec 1, 2016 Accepting new patients
Cal Devon Urgent Care Inc CurrentSince Oct 9, 2025 Accepting new patients
Quality Medical Imaging of Idaho Inc CurrentSince Jun 1, 2019 Accepting new patients
Dynamic Medical Imaging-Dmi, Inc CurrentSince Mar 30, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Apr 24, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 12, 2022 Accepting new patients
Texas Imaging Partners, LLC CurrentSince Mar 20, 2025 Accepting new patients
Dallas County Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 5, 2021 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Roadrunner Ultrasound Equipment, LLC CurrentSince Jul 28, 2026 Accepting new patients
Lifebrite Hospital Group of Early LLC Current Accepting new patients
Fisher County Hospital District Current Accepting new patients
Dallas County Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Suntree Endocrinology Current Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Martin County Hospital District CurrentSince May 1, 2025 Accepting new patients

Locations (25 of 55)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

101 S San Mateo Dr
Ste 201
San Mateo, CA 94401
Phone (650) 343-1655

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

11045 Columbia St
Blakely, GA 39823
Phone (228) 723-4313

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

27443 Network Pl
Chicago, IL 60673

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: russell.gelormini.1@32913.direct.athenahealth.com

Organizations & group practices 115

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.

View all 115

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1932194545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27817 LEGACY WOODS",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154995",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELORMINI",
        "first_name": "RUSSELL",
        "middle_name": "GERALD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P0590",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS9283",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036115069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.