ANTHONY RUSSO
NPI 1700860400
General Practice in Pflugerville, TX

Q: What is Anthony Russo's NPI number?

The NPI number for Anthony Russo is 1700860400. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Anthony Russo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Russo was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 December 06, 2005PECOS EnrolledAccepts Medicare Assignment

821 GRAND AVENUE PKWY STE 200, PFLUGERVILLE, TX 78660(512) 251-5586(512) 549-6260 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Anthony Russo NPPES

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

ANTHONY RUSSO (NPI 1700860400) is an individual general practice provider in Pflugerville, Texas, licensed in Texas (G0039) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1700860400

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameANTHONY RUSSO

Location Address821 GRAND AVENUE PKWY STE 200Pflugerville, TX 78660-2197

Mailing Address821 Grand Avenue Pkwy Ste 200Pflugerville, TX 78660-2197 · (512) 251-5586 · Fax (512) 549-6260

Phone(512) 251-5586

Fax(512) 549-6260

Sole ProprietorYes

Medical School CMSOtherGraduated 1981

Enumeration DateDecember 6, 2005

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1700860400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · G0039

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

821 GRAND AVENUE PKWY STE 200, Pflugerville, TX 78660

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Other Identifiers 3

Other00B91RTX · Blue Cross Blue Shield Tx

OtherG0039TX · State Medical License

Other115675TX · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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

Anthony Russo 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 ID2769645324

PECOS Enrollment IDI20120517000293

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.

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 Anthony Russo's NPI number?

The NPI number for Anthony Russo is 1700860400. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Anthony Russo located?

Anthony Russo practices at 821 Grand Avenue Pkwy Ste 200, Pflugerville, TX 78660. The listed phone number is (512) 251-5586.

What is Anthony Russo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Anthony Russo enrolled in Medicare?

Yes. Anthony 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.

What insurance does Anthony Russo accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Anthony Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Russo was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.