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DR. MATTHEW RICHARD RUSSELL M.D.
NPI 1225473077
Pediatrics - Pediatric Cardiology in Olympia, WA

Active since May 07, 2013PECOS Enrolled
700 LILLY RD NE, OLYMPIA, WA 98506(360) 923-7000(360) 923-7089 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Dec 6, 2021, Sep 16, 2019 (3 updates tracked since 2019).

About Dr. Matthew Richard Russell M.d. NPPES

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

DR. MATTHEW RICHARD RUSSELL M.D. (NPI 1225473077) is an individual pediatric cardiology provider in Olympia, Washington, licensed in Washington (MD61452396) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225473077
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MATTHEW RICHARD RUSSELLCredential: M.D.
Location Address700 LILLY RD NEOlympia, WA 98506-5115
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(360) 923-7000
Fax(360) 923-7089
Sole ProprietorNo
Enumeration DateMay 7, 2013
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1225473077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in WA · MD61452396✔ Licensed in CA · A133403
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
700 LILLY RD NE, Olympia, WA 98506
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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 (PECOS)

Dr. Matthew Richard Russell M.d. 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.

AMIHAN A FERRER M.D.
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
DAVID A REMIS
Dermatology
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
MICHAEL W BALFE M.D.
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
STACY E DELL
Counselor (Mental Health)
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
GORDON WHEAT M.D.
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
MONIQUE C. SEMIEN MD
Internal Medicine (Hematology & Oncology)
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
BAHRAM BADRI
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000
ELIZABETH A HOWELL MD
Obstetrics & Gynecology
700 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 923-7000

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 Matthew Russell's NPI number?

The NPI number for Matthew Russell is 1225473077. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Matthew Russell located?

Matthew Russell practices at 700 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-7000.

What is Matthew Russell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Matthew Russell enrolled in Medicare?

Yes. Matthew Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Russell was last updated on April 24, 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.