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DR. MARK RUSSELL M.D. NPI 1639137540


NPI Information

NPI: 1639137540
Provider Name: DR. MARK RUSSELL, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
13024 HESPERIA RD STE 103
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-3547
Get Directions

DR. Mark Russell, M.D. is an interventional cardiology internal medicine in Victorville, CA with 32 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Mark Russell, M.D. NPI is 1639137540. 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:

13024 HESPERIA RD STE 103
VICTORVILLE, CA
ZIP 92395-303
Phone: (760) 241-3547
Fax: (760) 241-3562

The NPI 1639137540 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)
  • Ct scan chest (HCPCS:71250)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Injection of different drug or substance into a vein for therapy, diagnosis, or prevention (HCPCS:96375)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Ct scan head or brain (HCPCS:70450)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/8/2020.


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
1207R00000XInternal Medicine229134NEW YORKNo
2207RC0000XInternal MedicineCardiovascular DiseaseA144701CALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyA144701CALIFORNIAYes
4390200000XStudent in an Organized Health Care Education/Training Program229134NEW YORKNo

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: 4/28/2024

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.