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DARREN RUSSELL
NPI 1164849212
Student in an Organized Health Care Education/Training Program in Simi Valley, CA

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
83.96/100
CMS Quality Rating
542 ARBOR CT, SIMI VALLEY, CA 93065(818) 807-4206 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Darren Russell NPPES

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

DARREN RUSSELL (NPI 1164849212) is an individual student in an organized health care education/training program in Simi Valley, California and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2014).

NPPES Registry Identity

NPI1164849212
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDARREN RUSSELL
Location Address542 ARBOR CTSimi Valley, CA 93065-8238
Mailing Address542 Arbor CtSimi Valley, CA 93065-8238 · (818) 807-4206
Phone(818) 807-4206
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2014
Enumeration DateMarch 26, 2014
✔ NPI 1164849212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
542 ARBOR CT, Simi Valley, CA 93065
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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

Darren Russell 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 ID446548838
PECOS Enrollment IDI20220819001963
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
102 services102 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
40 services40 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients

Medicare 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.

83.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.78
Promoting Interoperability100
Improvement Activities40
Cost56.15

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 Darren Russell's NPI number?

The NPI number for Darren Russell is 1164849212. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Darren Russell located?

Darren Russell practices at 542 Arbor Ct, Simi Valley, CA 93065. The listed phone number is (818) 807-4206.

What is Darren Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Darren Russell enrolled in Medicare?

Yes. Darren 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.

When was this NPI record last updated?

The NPPES record for Darren Russell was last updated on March 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.