DR. KATHRYN WHITE RUSSELL MD
NPI 1750518049
Surgery - Pediatric Surgery in Philadelphia, PA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kathryn White Russell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 751 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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.
Which organizations bill Medicare for Kathryn Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Russell reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Logan, UT) and University Of Utah Pediatric Services (Sandy, UT). Each 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 Kathryn Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 PacificSource Health Plans and 4 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 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.
# Dr. Kathryn White Russell, MD · NPI 1750518049
Pediatric Surgery physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 15, 2009.
## Identity
- **NPI:** 1750518049 (Entity type: Individual)
- **Enumerated:** June 15, 2009
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** MT207856 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC SURGERY, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1205963105, Logan, UT); University Of Utah Pediatric Services (NPI 1386257152, Sandy, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750518049) · Data from the CMS NPPES public registry.