RUSSELL JOHN WOLTERS MD
NPI 1154852440
Pediatrics - Pediatric Hematology-Oncology in Minneapolis, MN

Q: What is Russell Wolters's NPI number?

The NPI number for Russell Wolters is 1154852440. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Russell Wolters's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Russell Wolters was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 27, 2017PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2024, Mar 27, 2017 (2 updates tracked since 2017).

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About Russell John Wolters Md NPPES

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

RUSSELL JOHN WOLTERS MD (NPI 1154852440) is an individual pediatric hematology-oncology provider in Minneapolis, Minnesota, licensed in Minnesota (76651) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1154852440

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameRUSSELL JOHN WOLTERSCredential: MD

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 813-6000

Phone(612) 813-6000

Sole ProprietorNo

Enumeration DateMarch 27, 2017

Last NPPES UpdateJuly 4, 20242 updates tracked since enumeration

NPPES CertifiedJuly 4, 2024

✔ NPI 1154852440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in MN · 76651

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2525 CHICAGO AVE, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 11 Baylor Plz, BCM 320Houston, TX 77030-3411 · Phone (316) 990-1146

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell John Wolters Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CATHERINE ELAINE MCNAUGHTON LICSW

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