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MR. RONALD C RUSSO MD
NPI 1447380985
Surgery - Plastic and Reconstructive Surgery in Champaign, IL

Active since March 06, 2007PECOS Enrolled
2504 GALEN DRIVE, SUITE 107, CHAMPAIGN, IL 61821(217) 398-4856(217) 373-5214 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ronald C Russo Md NPPES

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

MR. RONALD C RUSSO MD (NPI 1447380985) is an individual plastic and reconstructive surgery provider in Champaign, Illinois and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447380985
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMR. RONALD C RUSSOCredential: MD
Location Address2504 GALEN DRIVE, SUITE 107Champaign, IL 61821-7048
Mailing Address2504 Galen Drive, Suite 107Champaign, IL 61821-7048 · (217) 398-4856 · Fax (217) 373-5214
Phone(217) 398-4856
Fax(217) 373-5214
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447380985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2504 GALEN DRIVE, Champaign, IL 61821
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Other Identifiers 2

Medicare UPINC43412
Medicare ID-Type Unspecified200795

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ronald C 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.

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 Ronald Russo's NPI number?

The NPI number for Ronald Russo is 1447380985. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Ronald Russo located?

Ronald Russo practices at 2504 Galen Drive Suite 107, Champaign, IL 61821. The listed phone number is (217) 398-4856.

What is Ronald Russo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Ronald Russo enrolled in Medicare?

Yes. Ronald Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronald Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.