MARINA K RUSSO MD NPI 1174510978

NPI Information

  • NPI: 1174510978
  • Provider Name: MARINA K RUSSO, MD
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1118 LEGACY POINTE DR
    SPRINGFIELD, IL
    ZIP 62711
  • Phone: (217) 787-8870

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NPI Details

Marina K Russo, MD is an endocrinology and diabetes and metabolism internal medicine in Springfield, IL with 37 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Marina K Russo, MD NPI is 1174510978. 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:

1118 LEGACY POINTE DR
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 787-8870
Fax: (217) 787-6158

The NPI 1174510978 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), Power Mobility Devices.

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.

  • Hemoglobin a1c level (HCPCS:83036)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 10/5/2005 and was last updated on 1/4/2022.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism036102799ILLINOISYes

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
1020057300OTHERILLINOISBLACK LUNG
26394POTHERILLINOISCATERPILLAR
3CD7143OTHERILLINOISRR MEDICARE GRP
4036102799MEDICAIDILLINOIS
508421024OTHERILLINOISBLUE CROSS BLUE SHIELD
614D0949277OTHERILLINOISCLIA CERT

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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