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ZACHARY RUSSO PA
NPI 1679194633
Physician Assistant - Medical in New Britain, CT

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5011 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Jun 26, 2020 (2 updates tracked since 2020).

About Zachary Russo Pa NPPES

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

ZACHARY RUSSO PA (NPI 1679194633) is an individual medical provider in New Britain, Connecticut and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679194633
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameZACHARY RUSSOCredential: PA
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address100 Grand StNew Britain, CT 06052-2016
Phone(860) 224-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2020
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1679194633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
100 GRAND ST, New Britain, CT 06052
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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 and accepts Medicare assignment

Zachary Russo Pa 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 ID5799101614
PECOS Enrollment IDI20221230001654
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 patients

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.

MISS NIRMALA BHATT MD
Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
MUHAMMAD YASIR ANWAR MBBS
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. ALEXANDER VDOVENKO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5584
MS. KORTNEY ROSE RIBBECK PA-C
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
SHEILA SANTHAPPA M.D.
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (608) 224-5305
MS. ELLEN ROSENBERG LMSW
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5285
SARA TAYLOR STRANIERI PA-C
Physician Assistant (Surgical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. LOUIS GRAFF IV M.D.
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5774

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 Zachary Russo's NPI number?

The NPI number for Zachary Russo is 1679194633. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Zachary Russo located?

Zachary Russo practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5011.

What is Zachary Russo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Zachary Russo enrolled in Medicare?

Yes. Zachary Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Zachary Russo was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.