1. Home
  2. Directory
  3. Washington
  4. Olympia
  5. Pediatrics
  6. NPI Profile

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

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2013).

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
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2013
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Ucla Medical Plz Ste 330Los Angeles, CA 90095-7419 · Phone (310) 267-7667 · Fax (310) 825-9524
Location 2200 Ucla Medical Plz Ste 265Los Angeles, CA 90095-7419 · Phone (310) 825-0867 · Fax (310) 794-5066

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Richard Russell M.d. 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 ID8527393875
PECOS Enrollment IDI20190710000526
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of Washington
40 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349
Southern California Permanente Medical Group
828 mi
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1982863783 (California)
  • 5,228 clinicians in this Medicare group
NPI 1316572753 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Russell reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of Washington (Renton, WA) and Southern California Permanente Medical Group (Bakersfield, 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 Matthew 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 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.