ROBERT THOMASON RUSSELL (MD) – Pediatric Surgery Physician, NPI 1477600328

ROBERT THOMASON RUSSELL (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 31614 (AL). The NPI Number for ROBERT THOMASON RUSSELL (MD) is 1477600328

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT THOMASON RUSSELL (MD)
NPI
1477600328
Phone
(205) 638-9688
Address
1600 7TH AVE S # ACC300
Enumeration Date
4 January 2007
Last Update Date
12 September 2012

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
2059344011
Graduation Year
2003 (23 years ago)
PAC ID
5597920702
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20120712000653
Address ID
AL352491900BI619XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

527 GENERAL SURGERY in AL

Provider Addresses for ROBERT THOMASON RUSSELL (MD)

  • 1600 7TH AVE S # ACC300

    BIRMINGHAM, AL 352331711

    Phone: (205) 638-9688

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120712000653IGeneral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Is there an official ID for ROBERT THOMASON RUSSELL (MD) in U.S. healthcare records?
The official identifier for ROBERT THOMASON RUSSELL (MD) is NPI 1477600328.
Is ROBERT THOMASON RUSSELL (MD) still an active registrant?
ROBERT THOMASON RUSSELL (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for ROBERT THOMASON RUSSELL (MD)?
At a glance, ROBERT THOMASON RUSSELL (MD) is tied to Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT THOMASON RUSSELL (MD)?
Travel planning: use Birmingham, Alabama as the reference point for ROBERT THOMASON RUSSELL (MD), then confirm.
Does ROBERT THOMASON RUSSELL (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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