MRS. TRINA MARY RUSSO DPM NPI 1174500862

NPI Information

  • NPI: 1174500862
  • Provider Name: MRS. TRINA MARY RUSSO, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20967 KELLY RD
    EASTPOINTE, MI
    ZIP 48021
  • Phone: (586) 779-8600

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NPI Details

MRS. Trina Mary Russo, DPM is a podiatrist in Eastpointe, MI with 6 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MRS. Trina Mary Russo, DPM NPI is 1174500862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20967 KELLY RD
EASTPOINTE, MI
ZIP 48021
Phone: (586) 779-8600
Fax: (586) 779-2019

The NPI 1174500862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 12/23/2005 and was last updated on 12/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristTR001571MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M71310007MEDICARE PIN
22760454MEDICAIDMICHIGAN
3480E020980OTHERMICHIGANBS MICH
45505057OTHERBS MI
5U19342MEDICARE UPIN
65505057MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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