DR. WILLIAM RUSSO DC
NPI 1194536649
Chiropractor in Wakefield, RI
About Dr. William Russo Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM RUSSO DC (NPI 1194536649) is an individual chiropractor in Wakefield, Rhode Island, licensed in Rhode Island (DCP00732) and active in the NPI registry since January 2025.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. William Russo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show William Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29407
- Reassigned Medicare billing, South Carolina enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 William Russo's NPI number?
The NPI number for William Russo is 1194536649. It was assigned to this individual provider in the NPPES registry on January 15, 2025.
Where is William Russo located?
William Russo practices at 41 Mautucket Rd, Wakefield, RI 02879. The listed phone number is (401) 284-6410.
What is William Russo's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is William Russo enrolled in Medicare?
Yes. William Russo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for William Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Russo reassigns Medicare benefits to Charleston Chiropractic Associates (Charleston, SC). The 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 William Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for William Russo was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. William Russo, DC · NPI 1194536649
Chiropractor provider in Wakefield, Rhode Island. Individual provider, active in the CMS NPPES registry since January 15, 2025.
## Identity
- **NPI:** 1194536649 (Entity type: Individual)
- **Enumerated:** January 15, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DCP00732 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 41 MAUTUCKET RD, Wakefield, RI 02879-5018
- **Phone:** (401) 284-6410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Charleston Chiropractic Associates (NPI 1588992093, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194536649) · Data from the CMS NPPES public registry.