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SUDHA A RUSSELL MD
NPI 1528037892
Pediatrics in Santa Maria, CA

Active since March 17, 2006PECOS Enrolled
1835 N BROADWAY, SANTA MARIA, CA 93454(805) 345-3701(805) 345-3745 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sudha A Russell Md NPPES

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

SUDHA A RUSSELL MD (NPI 1528037892) is an individual pediatrics provider in Santa Maria, California, licensed in California (G54900) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lamont.

NPPES Registry Identity

NPI1528037892
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUDHA A RUSSELLCredential: MD
Location Address1835 N BROADWAYSanta Maria, CA 93454-1404
Mailing AddressPo Box 1559Bakersfield, CA 93302-1559 · (661) 635-3050 · Fax (661) 326-1347
Phone(805) 345-3701
Fax(805) 345-3745
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1528037892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G54900
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License G54900 (CA)
1835 N BROADWAY, Santa Maria, CA 93454
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Secondary Practice Location 1

Location 18787 Hall RdLaMont, CA 93241-1953 · Phone (661) 845-3731 · Fax (661) 845-1157

Other Identifiers 2

Other10100FL · Bcbs Provider #
Medicaid057297799FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudha A Russell 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sudha Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Centers Of The Central Coast Inc
Same address
Federally Qualified Health Center (FQHC)
1835 N BROADWAY
Santa Maria, CA 93454
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1851417703 (805) 346-2753
Northeast Valley Health Corporation
113 mi
Community Health
23763 VALENCIA BLVD
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1730180118 (661) 287-1551
Valley Children's Medical Group
191 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
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 3

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

RICHARD RIPPLE M.D.
Pediatrics
1835 N BROADWAY
SANTA MARIA, CA 93454
Santa Barbara County (805) 345-3701
DR. SUSAN BARTOLINI M.D.
Pediatrics
1835 N BROADWAY
SANTA MARIA, CA 93454
Santa Barbara County (805) 345-3701
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1835 N BROADWAY
SANTA MARIA, CA 93454
Santa Barbara County (805) 346-2753

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 Sudha Russell's NPI number?

The NPI number for Sudha Russell is 1528037892. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Sudha Russell located?

Sudha Russell practices at 1835 N Broadway, Santa Maria, CA 93454. The listed phone number is (805) 345-3701.

What is Sudha Russell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sudha Russell enrolled in Medicare?

Yes. Sudha Russell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sudha Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Russell reassigns Medicare benefits to 3 organizations: Community Health Centers Of The Central Coast Inc (Santa Maria, CA), Northeast Valley Health Corporation (Valencia, CA) and Valley Children's Medical Group (Modesto, 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 Sudha 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 Sudha Russell was last updated on August 12, 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.