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RUSSELL PORTER MD NPI 1275511560


NPI Information

NPI: 1275511560
Provider Name: RUSSELL PORTER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: MOUNT SINAI SCHOOL OF MEDICINE

PECOS Registration: Yes

Address:
2000 NORTH VILLIAGE AVE
STE 307
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 766-5051
Get Directions

Russell Porter, MD is a family medicine in Rockville Centre, NY with 47 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. Russell Porter, MD NPI is 1275511560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 NORTH VILLIAGE AVE
STE 307
ROCKVILLE CENTRE, NY
ZIP 11570-001
Phone: (516) 766-5051
Fax: (516) 766-2476

The NPI 1275511560 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.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 1/6/2006 and was last updated on 2/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine136530NEW YORKNo
2207XX0005XOrthopaedic SurgerySports Medicine136530NEW YORKNo
3207Q00000XFamily Medicine136530NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1927080OTHERPHS FOR REFERRALS
2OC7613OTHERPHS
32590505OTHERUNEMPLOYMENT ER
4AP8627981OTHERDEA
536A761OTHERBCBS
6C09151MEDICARE UPIN
736A761MEDICARE PINNEW YORK
8AP970OTHEROXFORD
9559637OTHERUS HEALTHCARE
10AB45677OTHERMDNY
11CFP1365303OTHERNEW YORKWC
1236A761MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
1300598458MEDICAIDNEW YORK

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.