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

Q: 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.

Q: What is Sudha Russell's specialty?

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

Q: 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 4 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.

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 4 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.