SCOTT RUSSELL DO INC
NPI 1144919911
Clinic/Center in Bermuda Dunes, CA

Q: What is Scott Russell Do Inc's NPI number?

The NPI number for Scott Russell Do Inc is 1144919911. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is doing business as Scott Russell DO, MHA.

Q: What is Scott Russell Do Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 05, 2023CLIA 05D2292078 · Waiver

41120 WASHINGTON ST STE 210, BERMUDA DUNES, CA 92203(760) 391-8436 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2023, May 5, 2023 (2 updates tracked since 2023).

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About Scott Russell Do Inc NPPES

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

SCOTT RUSSELL DO INC (NPI 1144919911), doing business as Scott Russell Do, Mha, is a healthcare organization registered as a clinic/center in Bermuda Dunes, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Scott Russell, President, as its authorized official.

NPPES Registry Identity

NPI1144919911

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSCOTT RUSSELL DO INC

Location Address41120 WASHINGTON ST STE 210Bermuda Dunes, CA 92203-9596

Mailing Address45815 Camino Vis Ste 210La Quinta, CA 92253-7231 · (760) 391-8436

Phone(760) 391-8436

Organization SubpartNo

Authorized OfficialScott RussellPresident · (760) 391-8436

Enumeration DateMay 5, 2023

Last NPPES UpdateMay 22, 20232 updates tracked since enumeration

NPPES CertifiedMay 22, 2023

✔ NPI 1144919911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

41120 WASHINGTON ST STE 210, Bermuda Dunes, CA 92203

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Other Names 1

Doing Business AsScott Russell Do, Mha

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Russell Do Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Scott Russell Do Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Scott Russell, DO

Internal Medicine

NPI 1073581237

41120 WASHINGTON ST STE 201
Bermuda Dunes, CA 92203

(760) 360-3193

✔ PECOS✔ Accepts MedicareSame address

Pittawat Emerson, NP

Nurse Practitioner

NPI 1437492097

275 N EL CIELO RD
Palm Springs, CA 92262

(760) 320-4122

✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2292078

Scott Russell Do Mha · Indio, CA

Active · expires Oct 18, 2027

CLIA Number05D2292078

Laboratory TypePhysician Office

Certificate Effective DateOctober 19, 2025

Certificate Expiration DateOctober 18, 2027

Laboratory DirectorScott A. Russell

Laboratory Phone(760) 391-8436

Laboratory LocationScott Russell Do Mha41120 Washington St, Suite 210, Indio, CA 92203

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Scott Russell Do Inc's NPI number?

The NPI number for Scott Russell Do Inc is 1144919911. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is doing business as Scott Russell DO, MHA.

Where is Scott Russell Do Inc located?

Scott Russell Do Inc is located at 41120 Washington St Ste 210, Bermuda Dunes, CA 92203. The listed phone number is (760) 391-8436.

What is Scott Russell Do Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Scott Russell Do Inc enrolled in Medicare?

Yes. Scott Russell Do Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott Russell Do Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Scott Russell Do Inc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scott Russell Do Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2292078) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott Russell Do Inc was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.