MATTHEW WILLIAM RUSSELL MD
NPI 1962190074
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Matthew Russell's NPI number?

The NPI number for Matthew Russell is 1962190074. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Q: What is Matthew Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Russell was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 26, 2023PECOS Enrolled

9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew William Russell Md NPPES

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

MATTHEW WILLIAM RUSSELL MD (NPI 1962190074) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962190074

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW WILLIAM RUSSELLCredential: MD

Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001

Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · (440) 915-7969

Phone(216) 444-2200

Sole ProprietorYes

Enumeration DateApril 26, 2023

NPPES CertifiedApril 26, 2023

✔ NPI 1962190074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9500 EUCLID AVE # JJ24, Cleveland, OH 44195

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew William 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.

DR. BRANDY LEE SWEENEY DO

Student in an Organized Health Care Education/Training Program