DR. MICHAEL RUSSO M.D. NPI 1194887125

NPI Information

  • NPI: 1194887125
  • Provider Name: DR. MICHAEL RUSSO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 19D1012403
  • Address: 1111 MEDICAL CENTER BLVD
    SUITE S-555
    MARRERO, LA
    ZIP 70072
  • Phone: (504) 349-6808

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NPI Details

DR. Michael Russo, M.D. is a family medicine in Marrero, LA with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Michael Russo, M.D. NPI is 1194887125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1991

The provider's business location address is:

1111 MEDICAL CENTER BLVD
SUITE S-555
MARRERO, LA
ZIP 70072-151
Phone: (504) 349-6808
Fax: (504) 349-6811

The NPI 1194887125 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 CLIA number assigned to this NPI record is 19D1012403 - physician office with a certificate type of Certificate of Waiver.

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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • New patient home visit, typically 20 minutes (HCPCS:99341)

The enumeration date for this NPI number is 12/15/2006 and was last updated on 5/20/2008.

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
1207Q00000XFamily Medicine21692LOUISIANAYes

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
15-U-723MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
2F89097MEDICARE UPINLOUISIANA
31987051MEDICAIDLOUISIANA

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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