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

Sex

Male

Sole proprietor

No

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.

• Mercy Catholic Medical Center of Southeastern PA

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1437130705

  Internal Medicine, PA

  Medicare reassignment Care Compare group NPD
• Drexel University

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095

  PA

  Medicare reassignment NPD
• Mercy Catholic Medical Center of Southeastern PA

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

  • Rehabilitation Hospital Unit
  • Darby, PA
  • NPI 1538220702
  Care Compare group
• Drexel University

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

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

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

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

  • 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

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 PA 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srussell2016004@direct.trinity-health.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2021.

{
    "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

• All providers in Darby, PA
• 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.