DAVID ELLIOTT HOWARD RUSSELL MD
NPI 1366704819
Pediatrics in Centralia, WA
About David Elliott Howard Russell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID ELLIOTT HOWARD RUSSELL MD (NPI 1366704819) is an individual pediatrics provider in Centralia, Washington, licensed in Washington (60939084) and active in the NPI registry since June 2012. He has opted out of Medicare through April 10, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
David Elliott Howard Russell Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2022 through April 10, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98531 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.
CENTRALIA, WA 98531
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 David Russell's NPI number?
The NPI number for David Russell is 1366704819. It was assigned to this individual provider in the NPPES registry on June 11, 2012.
Where is David Russell located?
David Russell practices at 1911 Cooks Hill Rd, Centralia, WA 98531. The listed phone number is (360) 736-6778.
What is David Russell's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is David Russell enrolled in Medicare?
No. David Russell has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does David Russell accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Russell was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# David Elliott Howard Russell, MD · NPI 1366704819
Pediatrics physician in Centralia, Washington. Individual provider, active in the CMS NPPES registry since June 11, 2012.
## Identity
- **NPI:** 1366704819 (Entity type: Individual)
- **Enumerated:** June 11, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 60939084 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1911 COOKS HILL RD, Centralia, WA 98531-9073
- **Phone:** (360) 736-6778
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 10, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366704819) · Data from the CMS NPPES public registry.