ROBERT C RUSSELL M.D. NPI 1700823879

NPI Information

  • NPI: 1700823879
  • Provider Name: ROBERT C RUSSELL, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 320 E CARPENTER ST
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 523-0808

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NPI Details

Robert C Russell, M.D. is a plastic and reconstructive surgery surgery in Springfield, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. Robert C Russell, M.D. NPI is 1700823879. 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:

320 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62702-185
Phone: (217) 523-0808
Fax: (217) 753-5324

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, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/31/2006 and was last updated on 3/21/2013.

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
12082S0105XPlastic SurgerySurgery of the Hand036061657ILLINOISNo
2208600000XSurgery036061657ILLINOISNo
32086S0122XSurgeryPlastic and Reconstructive Surgery036061657ILLINOISYes

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
1036061657MEDICAIDILLINOIS
2212105MEDICARE PINILLINOIS
3D14524MEDICARE UPINILLINOIS

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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