DR. STEPHEN M DIRUSSO M.D.
NPI 1124185483
Surgery - Surgical Critical Care in Bronx, NY

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
4422 3RD AVE, ST. BARNABAS HOSPITAL DEPT SURGERY 2ND FLOR MILLS BLVD, BRONX, NY 10457(718) 960-6127 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen M Dirusso M.d. NPPES

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

DR. STEPHEN M DIRUSSO M.D. (NPI 1124185483) is an individual surgical critical care provider in Bronx, New York, licensed in New York (203772) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1989).

NPPES Registry Identity

NPI1124185483
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. STEPHEN M DIRUSSOCredential: M.D.
Location Address4422 3RD AVE, ST. BARNABAS HOSPITAL DEPT SURGERY 2ND FLOR MILLS BLVDBronx, NY 10457-2545
Mailing Address4422 Third Ave, Dept Of Surgery 2nd Floor Mills BuildingBronx, NY 10457 · (718) 960-6127
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1989
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 4, 2008
NPI 1124185483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in NY · 203772
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
4422 3RD AVE, Bronx, NY 10457

Other Identifiers 3

Medicare UPIN637616NY
Medicaid1724423NY
Medicare PIN61L901NY

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

Dr. Stephen M Dirusso M.d. 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 ID5597866806
PECOS Enrollment IDI20070730000795
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.

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.

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Stephen Dirusso's NPI number?

The NPI number for Stephen Dirusso is 1124185483. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Stephen Dirusso located?

Stephen Dirusso practices at 4422 3rd Ave St. Barnabas Hospital Dept Surgery 2nd Flor Mills Blvd, Bronx, NY 10457. The listed phone number is (718) 960-6127.

What is Stephen Dirusso's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Stephen Dirusso enrolled in Medicare?

Yes. Stephen Dirusso 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.

When was this NPI record last updated?

The NPPES record for Stephen Dirusso was last updated on December 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.