ALLEN J RUSSELL (M.D.) – Diagnostic Radiology Physician, NPI 1184627945
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALLEN J RUSSELL (M.D.)
6601 COLLEGE BLVD STE 120
OVERLAND PARK, KS 662111504
Phone: (913) 359-6001
Fax: (217) 897-6999
Type: Mailing
32401 8 MILE RD
LIVONIA, MI 481521301
Phone: (913) 359-6001
Fax: (913) 359-5552
Type: Location
601 E MAIN ST STE 101
MAHOMET, IL 618537460
Phone: (913) 359-6001
Fax: (217) 897-6999
Type: Mailing
County Road 350 East, Thornewood, Mahomet, Champaign County, Illinois, 61843, United States
MAHOMET, IL 618539734
Phone: (217) 897-6655
Fax: (217) 897-6999
Type: Mailing
St. Joe's Schoolcraft Medical Center, I-275 Metro Trail, Livonia, Wayne County, Michigan, 48167-3958, United States of America
LIVONIA, MI 481501162
Phone: (913) 359-6001
Fax: (913) 359-5552
Type: Location
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: 2005-02-16
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050216000582 | I | General Practice | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 74230 | Imaging for evaluation of swallowing function | 160 | 125 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 111 | 111 | $0 |
Insurance plans in this area (ZIP 66211)
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