MICHAEL G RUSSO MD A PROFESSIONSL LLC
NPI 1710146808
Family Medicine in Marrero, LA

Q: What is Michael G Russo MD A Professionsl LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 04, 2008

1111 MEDICAL CENTER BLVD, SUITE S 555, MARRERO, LA 70072(504) 349-6808(504) 367-8579 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael G Russo Md A Professionsl Llc NPPES

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

MICHAEL G RUSSO MD A PROFESSIONSL LLC (NPI 1710146808) is a healthcare organization registered as a family medicine in Marrero, Louisiana and active in the NPI registry since June 2008. The organization lists Michael G Russo, Physician, as its authorized official.

NPPES Registry Identity

NPI1710146808

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMICHAEL G RUSSO MD A PROFESSIONSL LLC

Location Address1111 MEDICAL CENTER BLVD, SUITE S 555Marrero, LA 70072-3151

Mailing Address1111 Medical Center Blvd, Suite S 555Marrero, LA 70072-3151 · (504) 349-6808 · Fax (504) 367-8579

Phone(504) 349-6808

Fax(504) 367-8579

Organization SubpartNo

Authorized OfficialMichael G RussoPhysician · (504) 349-6808

Enumeration DateJune 4, 2008

Last NPPES UpdateJanuary 27, 2009

✔ NPI 1710146808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · MD09346R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1111 MEDICAL CENTER BLVD, Marrero, LA 70072

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Other Identifiers 1

Medicaid1347761LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael G Russo Md A Professionsl Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael G Russo MD A Professionsl LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michael Russo, M.D.

Family Practice

NPI 1194887125

1111 MEDICAL CENTER BLVD SUITE S-555
Marrero, LA 70072

(504) 349-6808

✔ PECOS✔ Accepts Medicare0.2 mi

Joann Norman, FNP

Nurse Practitioner

NPI 1669651196

3525 PRYTANIA ST SUITE 526
New Orleans, LA 70115

(504) 648-2500

✔ PECOS✔ Accepts Medicare2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael G Russo MD A Professionsl LLC's NPI number?

The NPI number for Michael G Russo MD A Professionsl LLC is 1710146808. It was assigned to this organization in the NPPES registry on June 4, 2008.

Where is Michael G Russo MD A Professionsl LLC located?

Michael G Russo MD A Professionsl LLC is located at 1111 Medical Center Blvd Suite S 555, Marrero, LA 70072. The listed phone number is (504) 349-6808.

What is Michael G Russo MD A Professionsl LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael G Russo MD A Professionsl LLC enrolled in Medicare?

Yes. Michael G Russo MD A Professionsl LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael G Russo MD A Professionsl LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Michael G Russo MD A Professionsl LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael G Russo MD A Professionsl LLC was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.