Active NPI
Carl L Russell, MD
- Internal Medicine Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L3808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150821003 | Medicaid | TX | |
| 150821001 | Medicaid | TX | |
| 150821002 | Medicaid | TX |
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
Enrollment records 1
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
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
- Medical City Dallas Hospital
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Internists Associates, PLLC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1154378560
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Garland, TX
- NPI 1750650917
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.