DR. KARL FEHSKENS RUSS M.D.
NPI 1669853370
Student in an Organized Health Care Education/Training Program in Mineola, NY
About Dr. Karl Fehskens Russ M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KARL FEHSKENS RUSS M.D. (NPI 1669853370) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Karl Fehskens Russ M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karl Russ reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Karl Russ's NPI number?
The NPI number for Karl Russ is 1669853370. It was assigned to this individual provider in the NPPES registry on June 18, 2015.
Where is Karl Russ located?
Karl Russ practices at 259 1st St, Mineola, NY 11501. The listed phone number is (805) 705-9145.
What is Karl Russ's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Karl Russ enrolled in Medicare?
Yes. Karl Russ is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Karl Russ's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Russ reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Karl Russ'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 Karl Russ was last updated on February 11, 2022. 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.
# Dr. Karl Fehskens Russ, M.D. · NPI 1669853370
Student in an Organized Health Care Education/Training Program provider in Mineola, New York. Individual provider, active in the CMS NPPES registry since June 18, 2015.
## Identity
- **NPI:** 1669853370 (Entity type: Individual)
- **Enumerated:** June 18, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (805) 705-9145 · **Fax:** (516) 663-8955
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669853370) · Data from the CMS NPPES public registry.