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MARK W RUSSELL MD
NPI 1083620256
Pediatrics - Pediatric Cardiology in Ann Arbor, MI

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661, ANN ARBOR, MI 48109(734) 764-5176 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark W Russell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W RUSSELL MD (NPI 1083620256) is an individual pediatric cardiology provider in Ann Arbor, Michigan, licensed in Michigan (4301060392) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Duke University School Of Medicine (1989).

NPPES Registry Identity

NPI1083620256
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMARK W RUSSELLCredential: MD
Location Address1500 E MEDICAL CENTER DR, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661Ann Arbor, MI 48109-5204
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 764-5176
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1989
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 29, 2013
✔ NPI 1083620256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4301060392
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 4301060392 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
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Other Identifiers 3

Medicaid3226763MI
Medicare UPING21345
Medicare ID-Type Unspecified0H16103208MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark W Russell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971645631
PECOS Enrollment IDI20100119000752
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

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.

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Mark Russell's NPI number?

The NPI number for Mark Russell is 1083620256. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mark Russell located?

Mark Russell practices at 1500 E Medical Center Dr 11th Floor Cs Mott Childrens Hospital Room 661, Ann Arbor, MI 48109. The listed phone number is (734) 764-5176.

What is Mark Russell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mark Russell enrolled in Medicare?

Yes. Mark Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Russell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mark Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Russell affiliated with any hospitals?

According to CMS data, Mark Russell is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Mark Russell was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.