Steven R Russell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD064395L Issued in PA

Practice address

1503 Lansdowne Ave Ste 2000
Darby, PA 19023-1330

Phone

(610) 237-2529

Fax

(610) 237-4261

NPI assigned

Jul 13, 2005

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Internal Medicine

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Catholic Medical Center of Southeastern PAGroup PAC ID 3678476561, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Health Home health agency, Newtown, PA, CCN 397015
• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srussell2016004@direct.trinity-health.org
• Direct secure messaging: steven.russell.1@16196.direct.athenahealth.com

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.

• Mercy Catholic Medical Center of Southeastern PA

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1437130705
  Medicare reassignment Care Compare group NPD
• Drexel University

  dba Drexel Psychology

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095
  Medicare reassignment NPD
• Drexel University

  dba Pennsylvania Ear Institute

  • Audiologist
  • Elkins Park, PA
  • NPI 1104822253
  NPD
• Drexel University

  dba Drexel University Physical Therapy

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1598999351
  NPD
• Mercy Catholic Medical Center of Southeastern PA

  dba Mercy Fitzgerald Hospital Short Procedure Unit

  • Ambulatory Surgical Clinic/Center
  • Darby, PA
  • NPI 1699815811
  NPD
• Mercy Catholic Medical Center of Southeastern PA

  dba Mercy Fitzgerald Hospital

  • General Acute Care Hospital
  • Darby, PA
  • NPI 1730173550
  NPD
• Mercy Catholic Medical Center of Southeastern PA

  dba Mercy Philadelphia Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1861486698
  NPD (past)
• Mercy Catholic Medical Center of Southeastern,PA

  dba Mercy Pharmacy

  • Community/Retail Pharmacy
  • Darby, PA
  • NPI 1073868667
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Home Health

  • Home Health Agency
  • Newtown, PA
  • NPI 1467412296
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1982602876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE STE 2000",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231330",
            "telephone_number": "610-237-2529",
            "fax_number": "610-237-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD064395L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017331200001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.russell.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Adult Ambulatory Clinic Direct Email Address",
            "affiliationName": "Mercy Catholic Medical Center of Southeastern PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1503 Lansdowne Ave Ste 2000",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190231330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariam Rogers-Wright
• Scott Eric Rotenberg, M.D.
• Pamela Rowland, CRNP
• Sean M. Rowland, CRNA
• Edward Ruby
• Alessio Russomanno, DO
• John C Sabatino, M.D.
• Sri Sravya Sakhi Sakhineti
• Hafiz Muhammad Ajmal Saleem, M.D.
• Shrikanth Sampath, MD

• Internal Medicine Physician in Darby, PA
• Providers in Darby, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.

Verify at the official NPI Registry.