DR. TANYA RUSSO DO
NPI 1013906098
Pediatrics in Albemarle, NC
About Dr. Tanya Russo Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TANYA RUSSO DO (NPI 1013906098) is an individual pediatrics provider in Albemarle, North Carolina, licensed in South Carolina (0574) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tanya Russo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tanya Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Timmonsville, SC 29161
- Reassigned Medicare billing, South Carolina enrollment
- 215 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBEMARLE, NC 28001
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tanya Russo's NPI number?
The NPI number for Tanya Russo is 1013906098. It was assigned to this individual provider in the NPPES registry on October 21, 2005.
Where is Tanya Russo located?
Tanya Russo practices at 105 Yadkin St Suite 303, Albemarle, NC 28001. The listed phone number is (803) 532-2208.
What is Tanya Russo's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Tanya Russo enrolled in Medicare?
Yes. Tanya Russo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tanya Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Russo reassigns Medicare benefits to Mcleod Health Clarendon (Timmonsville, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanya Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tanya Russo was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Tanya Russo, DO · NPI 1013906098
Pediatrics physician in Albemarle, North Carolina. Individual provider, active in the CMS NPPES registry since October 21, 2005.
## Identity
- **NPI:** 1013906098 (Entity type: Individual)
- **Enumerated:** October 21, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 0574 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 YADKIN ST, SUITE 303, Albemarle, NC 28001-3449
- **Phone:** (803) 532-2208
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcleod Health Clarendon (NPI 1003461773, Timmonsville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2017
- **Other identifiers:** Medicaid 1013906098 (NC); Medicare UPIN H10530 (SC); Medicare PIN NCU552A (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1013906098) · Data from the CMS NPPES public registry.