Individual provider Active NPI

Carl L Russell, MD

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1982632857
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3808 Issued in TX
Practice address
331 Melrose Dr
Suite 220
Richardson, TX 75080
Phone
(469) 828-1903
Fax
(469) 374-3851
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3808 TX Primary

Addresses

Primary practice location

331 Melrose Dr
Suite 220
Richardson, TX 75080

Mailing address

275 W Campbell Road Suite 260
Richardson, TX 75080
Phone (214) 932-1860

Other identifiers 3

IdentifierTypeStateIssuer
150821003MedicaidTX
150821001MedicaidTX
150821002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080215000279 TX Practitioner - Internal Medicine 8426131301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Internists Associates, PLLCGroup PAC ID 7113817404, 11 clinicians

Practice addresses (Care Compare)

331 Melrose Dr
Suite 220
Richardson, TX 75080-4773
Phone (469) 828-1903

7777 Forest LN
Dallas, TX 75230-2571
Phone (469) 828-1903

Hospital & facility affiliations

  • Trinity Hospice Hospice, Garland, TX, CCN 741569
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Internists Associates, PLLC Internal Medicine CurrentSince Sep 15, 2015 Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

7777 Forest Ln
Bldg E
Dallas, TX 75230

331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903

275 W Campbell Rd
Ste 260
Richardson, TX 75080

Interoperability endpoints

  • Direct secure messaging: carussell@direct.uspi.com

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 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1982632857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL ROAD SUITE 260",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "214-932-1860",
            "fax_number": "214-234-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "469-828-1903",
            "fax_number": "469-374-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CARL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150821003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150821001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150821002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.