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JAMES HENRY RUSSILLIO RN, BSN, CRNA
NPI 1275103467
Nurse Anesthetist, Certified Registered in Buffalo, NY

Active since June 29, 2021
3495 BAILEY AVE, BUFFALO, NY 14215(716) 834-9200 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Henry Russillio Rn, Bsn, Crna NPPES

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

JAMES HENRY RUSSILLIO RN, BSN, CRNA (NPI 1275103467) is an individual nurse anesthetist, certified registered in Buffalo, New York, licensed in New York (659979-01) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1275103467
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAMES HENRY RUSSILLIOCredential: RN, BSN, CRNA
Location Address3495 BAILEY AVEBuffalo, NY 14215-1129
Mailing Address185 Seneca Creek Rd Apt RsWest Seneca, NY 14224-2347 · (716) 946-7650
Phone(716) 834-9200
Sole ProprietorNo
Enumeration DateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1275103467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NY · 659979-01
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3495 BAILEY AVE, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Henry Russillio Rn, Bsn, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Northtowns Ambulatory Surgery Center, LLC
3.0 mi
Ambulatory Surgical
111 N MAPLEMERE RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1073384855 (716) 817-0450
Andrew J. Siedlecki, M.D., PC
3.2 mi
Ophthalmology
170 MAPLE RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1689884488 (716) 634-8500

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.

MAXIAM DEAN
Family Medicine
3495 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 834-9200
DR. GREGORY MICOLI
Pharmacist
3495 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 834-9200
MR. KENNETH A MUNCH PT
Physical Therapist
3495 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 862-8661
DR. JOHN PAUL LAZARUS D.D.S.
Dentist (General Practice)
3495 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 862-8738
MS. JILL MARIE BEIGER LCSW-R
Social Worker (Clinical)
3495 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 862-6516
TODD CWUDZINSKI R.N.
Registered Nurse
3495 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 834-9200
LINDA M HIRTZEL RN, BSN
Registered Nurse
3495 BAILEY AVE, VA WNY HS
BUFFALO, NY 14215
Erie County (716) 862-7456
DR. CHRISTINA LAURA VAIR PHD
Psychologist (Clinical)
3495 BAILEY AVE, VA WESTERN NEW YORK HEALTHCARE SYSTEM (116N)
BUFFALO, NY 14215
Erie County (716) 834-9200

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 James Russillio's NPI number?

The NPI number for James Russillio is 1275103467. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is James Russillio located?

James Russillio practices at 3495 Bailey Ave, Buffalo, NY 14215. The listed phone number is (716) 834-9200.

What is James Russillio's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is James Russillio enrolled in Medicare?

Yes. James Russillio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Russillio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Russillio reassigns Medicare benefits to 2 organizations: Northtowns Ambulatory Surgery Center, LLC (Williamsville, NY) and Andrew J. Siedlecki, M.D., PC (Williamsville, NY). 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 James Russillio'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 James Russillio was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.