TARA ANASTASIA RUSSELL MD, MPH
NPI 1982047635
Surgery in Los Angeles, CA
About Tara Anastasia Russell Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ANASTASIA RUSSELL MD, MPH (NPI 1982047635) is an individual surgery provider in Los Angeles, California, licensed in California (A136212) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tara Anastasia Russell Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tara Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90024
- Reassigned Medicare billing, California enrollment
- 83 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
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 Tara Russell's NPI number?
The NPI number for Tara Russell is 1982047635. It was assigned to this individual provider in the NPPES registry on April 12, 2013.
Where is Tara Russell located?
Tara Russell practices at 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095. The listed phone number is (310) 794-7788.
What is Tara Russell's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Tara Russell enrolled in Medicare?
Yes. Tara Russell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tara Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Russell reassigns Medicare benefits to Ucla Associated General Surgeons (Los Angeles, CA). The 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 Tara Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tara Russell was last updated on March 7, 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.
# Tara Anastasia Russell, MD, MPH · NPI 1982047635
Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 12, 2013.
## Identity
- **NPI:** 1982047635 (Entity type: Individual)
- **Enumerated:** April 12, 2013
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A136212 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 UCLA MEDICAL PLZ STE 214, Los Angeles, CA 90095-3955
- **Phone:** (310) 794-7788
## 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:** Ucla Associated General Surgeons (NPI 1730147372, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other A136212 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1982047635) · Data from the CMS NPPES public registry.