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KRAIG M RUSSELL MD
NPI 1760414916
Internal Medicine - Hospice and Palliative Medicine in Portland, OR

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
10123 SE MARKET ST, PORTLAND, OR 97216(503) 261-6985(503) 261-6790 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kraig M Russell Md NPPES

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

KRAIG M RUSSELL MD (NPI 1760414916) is an individual hospice and palliative medicine provider in Portland, Oregon, licensed in Oregon (MD156766) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Indiana University School Of Medicine (1999).

NPPES Registry Identity

NPI1760414916
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameKRAIG M RUSSELLCredential: MD
Location Address10123 SE MARKET STPortland, OR 97216-2532
Mailing AddressPo Box 92900Portland, OR 97292-0900 · (503) 261-6985 · Fax (503) 261-6790
Phone(503) 261-6985
Fax(503) 261-6790
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1760414916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Licenses✔ Licensed in OR · MD156766✔ Licensed in NC · 200900320
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35087067 (OH), 200900320 (NC)
10123 SE MARKET ST, Portland, OR 97216
Open in Google Maps ↗

Other Identifiers 2

Medicaid5911521NC
Medicaid2663069OH

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

Kraig M Russell Md 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 ID1052317070
PECOS Enrollment IDI20120412000730
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

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.

MELISSA CHRISTINE HOSEY RN
Student in an Organized Health Care Education/Training Program
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (509) 335-6424
MRS. SAMANTHA LANCASTER RN-BC
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
DR. HANI DARWICH MD
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 252-2004
ADRIENNE E SOUCY MD
Hospitalist
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
AUSTIN W SMITH CRNA
Nurse Anesthetist, Certified Registered
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
NAM THANH TRINH MD
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
KURT DYKHUIZEN D.O.
Anesthesiology
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
LAVON ANN TURNER RN
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500

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 Kraig Russell's NPI number?

The NPI number for Kraig Russell is 1760414916. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kraig Russell located?

Kraig Russell practices at 10123 SE Market St, Portland, OR 97216. The listed phone number is (503) 261-6985.

What is Kraig Russell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Kraig Russell enrolled in Medicare?

Yes. Kraig Russell 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.

Is Kraig Russell affiliated with any hospitals?

According to CMS data, Kraig Russell is affiliated with Kaiser Sunnyside Medical Center.

When was this NPI record last updated?

The NPPES record for Kraig Russell was last updated on February 4, 2022. 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.