MR. SAM DOMINICK RUSSO MPAS
NPI 1164823787
Physician Assistant - Medical in New York, NY
About Mr. Sam Dominick Russo Mpas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAM DOMINICK RUSSO MPAS (NPI 1164823787) is an individual medical provider in New York, New York and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Sam Dominick Russo Mpas 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Westchester Hospital
Acute Care Hospitals · Mount Kisco, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
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 Sam Russo's NPI number?
The NPI number for Sam Russo is 1164823787. It was assigned to this individual provider in the NPPES registry on September 15, 2014.
Where is Sam Russo located?
Sam Russo practices at 650 W 168th St, New York, NY 10032. The listed phone number is (212) 305-7367.
What is Sam Russo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Sam Russo enrolled in Medicare?
Yes. Sam Russo 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.
Is Sam Russo affiliated with any hospitals?
According to CMS data, Sam Russo is affiliated with Northern Westchester Hospital.
When was this NPI record last updated?
The NPPES record for Sam Russo was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
