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DR. RUSSELL S DILLEY M.D. NPI 1891724167


NPI Information

NPI: 1891724167
Provider Name: DR. RUSSELL S DILLEY, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
1400 N RITTER AVE
SUITE # 520
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-1234
Get Directions

DR. Russell S Dilley, M.D. is a vascular surgery surgery in Indianapolis, IN with 54 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Russell S Dilley, M.D. NPI is 1891724167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1970

The provider's business location address is:

1400 N RITTER AVE
SUITE # 520
INDIANAPOLIS, IN
ZIP 46219-052
Phone: (317) 355-1234
Fax: (317) 355-1505

The NPI 1891724167 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.

  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 6/30/2006 and was last updated on 9/7/2017.


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
12086S0129XSurgeryVascular Surgery01026646INDIANAYes

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
1E03626MEDICARE UPININDIANA
2100064180AMEDICAIDINDIANA
3P00719539MEDICARE PININDIANA
4060660AMEDICARE PININDIANA
5P01214606OTHERINDIANARR MEDICARE PTAN
6266180138MEDICARE PININDIANA
7251320VMEDICARE PININDIANA

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.