RUSSL ALTABTABAEE (DPM) – Podiatrist, NPI 1528633096
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
386 PODIATRY in MA
Provider Addresses for RUSSL ALTABTABAEE (DPM)
PO BOX 415348
BOSTON, MA 022415348
Phone:
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-5500
Fax: (508) 334-3408
Type: Location
2351 E 22nd St
Cleveland, OH 441153111
Phone: (216) 861-6200
Fax: (216) 363-7490
Type: Location
119 Belmont St
Worcester, MA 016052903
Phone: (508) 334-5500
Fax: (508) 334-9762
Type: Location
2351 E 22ND ST
CLEVELAND, OH 441153111
Phone: (216) 861-6200
Fax: (216) 363-7490
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,880.
Total Amount is formed as General ($1,880) + Research ($0) + Ownership ($0) = $1,880.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Stryker Corporation ($523).
Total Amount
$1,880
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,880
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $523 |
| Horizon Therapeutics plc | $250 |
| Aroa Biosurgery Incorporated | $244 |
| TREACE MEDICAL CONCEPTS, INC. | $166 |
| Davol Inc. | $146 |
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: 2024-09-12
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 |
|---|---|---|---|---|
| I20240912000405 | I | Podiatry | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
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