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DR. KATHRYN WHITE RUSSELL MD
NPI 1750518049
Surgery - Pediatric Surgery in Philadelphia, PA

Active since June 15, 2009PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC SURGERY, PHILADELPHIA, PA 19104(215) 590-1190 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathryn White Russell Md NPPES

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

DR. KATHRYN WHITE RUSSELL MD (NPI 1750518049) is an individual pediatric surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT207856) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750518049
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KATHRYN WHITE RUSSELLCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC SURGERYPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, Division Of Pediatric SurgeryPhiladelphia, PA 19104-4319 · (215) 590-1190
Phone(215) 590-1190
Sole ProprietorYes
Enumeration DateJune 15, 2009
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1750518049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in PA · MT207856
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

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. Kathryn White Russell Md 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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Kathryn Russell's NPI number?

The NPI number for Kathryn Russell is 1750518049. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Kathryn Russell located?

Kathryn Russell practices at 3401 Civic Center Blvd Division Of Pediatric Surgery, Philadelphia, PA 19104. The listed phone number is (215) 590-1190.

What is Kathryn Russell's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kathryn Russell enrolled in Medicare?

Yes. Kathryn Russell is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Russell accept?

Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare, Mountain Health CO-OP and Providence Health Plan and 3 other insurers list Kathryn Russell 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 Kathryn Russell was last updated on November 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.