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MANUEL ANTONIO GARCIA RUSSO MD
NPI 1407605850
Surgery in Philadelphia, PA

Active since May 17, 2024PECOS Enrolled
3401 N BROAD ST STE 400, PHILADELPHIA, PA 19140(215) 707-3133 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manuel Antonio Garcia Russo Md NPPES

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

MANUEL ANTONIO GARCIA RUSSO MD (NPI 1407605850) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT230753) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407605850
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMANUEL ANTONIO GARCIA RUSSOCredential: MD
Location Address3401 N BROAD ST STE 400Philadelphia, PA 19140-5103
Mailing Address2229 S Darien StPhiladelphia, PA 19148-3105
Phone(215) 707-3133
Sole ProprietorNo
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1407605850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT230753
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3401 N BROAD ST STE 400, Philadelphia, PA 19140
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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)

Manuel Antonio Garcia Russo Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEIL A KING M.D.
Surgery
3401 N BROAD ST STE 400
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133

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 Manuel Garcia Russo's NPI number?

The NPI number for Manuel Garcia Russo is 1407605850. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Manuel Garcia Russo located?

Manuel Garcia Russo practices at 3401 N Broad St Ste 400, Philadelphia, PA 19140. The listed phone number is (215) 707-3133.

What is Manuel Garcia Russo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Manuel Garcia Russo enrolled in Medicare?

Yes. Manuel Garcia Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manuel Garcia Russo was last updated on May 17, 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.