Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOAH RUSSELL DO
NPI 1619611407
Internal Medicine in Tupelo, MS

Active since April 26, 2022PECOS Enrolled
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-6652 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Apr 26, 2022 (2 updates tracked since 2022).

About Noah Russell Do NPPES

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

NOAH RUSSELL DO (NPI 1619611407) is an individual internal medicine provider in Tupelo, Mississippi, licensed in Mississippi (35540) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619611407
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNOAH RUSSELLCredential: DO
Location Address830 S GLOSTER STTupelo, MS 38801-4996
Mailing Address4025 Lonesome TrlPlano, TX 75023-4811 · (512) 669-1653
Sole ProprietorNo
Enumeration DateApril 26, 2022
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1619611407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 35540
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
830 S GLOSTER ST, Tupelo, MS 38801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Noah Russell Do 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 38801 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801

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 Noah Russell's NPI number?

The NPI number for Noah Russell is 1619611407. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Noah Russell located?

Noah Russell practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-6652.

What is Noah Russell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Noah Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Noah Russell was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.