DR. SAMUEL PETER RUSSELL MD
NPI 1215564265
Pediatrics in San Diego, CA
About Dr. Samuel Peter Russell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL PETER RUSSELL MD (NPI 1215564265) is an individual pediatrics provider in San Diego, California, licensed in California (A186031) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
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. Samuel Peter Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 clinicians in this Medicare group
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Samuel Russell's NPI number?
The NPI number for Samuel Russell is 1215564265. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Samuel Russell located?
Samuel Russell practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.
What is Samuel Russell's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Samuel Russell enrolled in Medicare?
Yes. Samuel Russell is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Russell reassigns Medicare benefits to 2 organizations: Rady Children's Hospital San Diego (San Diego, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). Each 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 Samuel Russell'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 Samuel Russell was last updated on May 10, 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.
# Dr. Samuel Peter Russell, MD · NPI 1215564265
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1215564265 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A186031 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA); Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215564265) · Data from the CMS NPPES public registry.