DANIELA COTRIM RUSSI M.D.
NPI 1548502701
Dermatology - Pediatric Dermatology in Phoenix, AZ

Q: What is Daniela Russi's NPI number?

The NPI number for Daniela Russi is 1548502701. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Q: What is Daniela Russi's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Q: When was this NPI record last updated?

The NPPES record for Daniela Russi was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 26, 2013PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0895(602) 933-2436 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2018, Mar 17, 2018, Dec 11, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Daniela Cotrim Russi M.d. NPPES

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

DANIELA COTRIM RUSSI M.D. (NPI 1548502701) is an individual pediatric dermatology provider in Phoenix, Arizona, licensed in Arizona (54651) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Park Ridge, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1548502701

Entity TypeIndividualFemale

Primary Taxonomy207NP0225X

Provider Legal NameDANIELA COTRIM RUSSICredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814

Phone(602) 933-0895

Fax(602) 933-2436

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMarch 26, 2013

Last NPPES UpdateMarch 27, 20184 updates tracked since enumeration

✔ NPI 1548502701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NP0225X

License✔ Licensed in AZ · 54651

Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Location 1

Location 11775 Dempster St, Dept. Of Pediatrics - 2 SouthPark Ridge, IL 60068-1143 · Phone (847) 723-5986

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniela Cotrim Russi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658676952

PECOS Enrollment IDI20170918003266

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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

DR. TIMUR RAGHIB M.D.

Hospitalist