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DR. KARL FEHSKENS RUSS M.D.
NPI 1669853370
Student in an Organized Health Care Education/Training Program in Mineola, NY

Active since June 18, 2015PECOS Enrolled
259 1ST ST, MINEOLA, NY 11501(805) 705-9145(516) 663-8955 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1669853370
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KARL FEHSKENS RUSSCredential: M.D.
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address365 Stewart Ave, Apt B11Garden City, NY 11530-4532 · (805) 705-9145
Phone(805) 705-9145
Fax(516) 663-8955
Sole ProprietorYes
Enumeration DateJune 18, 2015
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1669853370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
259 1ST ST, Mineola, NY 11501
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Medicare Participation & PECOS CMS

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

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).

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.

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.

LINDSY MILLER M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 741-0570
GINA CARUCCI
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. CHRISTIAN GIGANTE MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-8794
CHRISTOPHER PETILLO
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
JOHN ANTHONY DINELLI MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
MANISHA SAKORE MD
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-3853
DR. LAWRENCE SCHEINBERG M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. KIM ANN RUTHERFORD M.D.
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (717) 531-8955

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.

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.