MARK STEVEN RUSSO MD PHD NPI 1316934326

NPI Information

  • NPI: 1316934326
  • Provider Name: MARK STEVEN RUSSO, MD, PHD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 878 109TH AVE N
    NAPLES, FL
    ZIP 34108
  • Phone: (239) 513-1002

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NPI Details

Mark Steven Russo, MD, PHD is a nephrology internal medicine in Naples, FL with 30 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Mark Steven Russo, MD, PHD NPI is 1316934326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1995

The provider's business location address is:

878 109TH AVE N
NAPLES, FL
ZIP 34108-821
Phone: (239) 513-1002
Fax: (239) 513-1915

The NPI 1316934326 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Home dialysis services per month (20 years or older) (HCPCS:90966)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Dialysis training completed (HCPCS:90989)

The enumeration date for this NPI number is 10/4/2005 and was last updated on 9/11/2013.

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
1207RN0300XInternal MedicineNephrology83306FLORIDAYes

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
113594OTHERFLORIDABLUE CROSS BLUE SHIELD
2E6954ZMEDICARE PINFLORIDA
3G99147MEDICARE UPINFLORIDA
4263246200MEDICAIDFLORIDA

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: 3/30/2025

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