DR. HUBERT WILLIAM JR. RUSSELL (D.C.) – Chiropractor, NPI 1720021231

DR. HUBERT WILLIAM JR. RUSSELL (D.C.) is a healthcare provider. based in Southgate, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. HR004208 (MI). The NPI Number for DR. HUBERT WILLIAM JR. RUSSELL (D.C.) is 1720021231

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. HUBERT WILLIAM JR. RUSSELL (D.C.)
NPI
1720021231
Phone
(734) 284-9800
Address
15195 ALLEN RD
Enumeration Date
13 June 2006
Last Update Date
22 April 2008

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
7342849800
Graduation Year
1980 (46 years ago)
PAC ID
5294816518
Group Practice PAC ID
8921189242
Professional Enrollment ID
I20080112000107
Address ID
MI481952921SO15195RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,869 CHIROPRACTIC in MI

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Provider Addresses for DR. HUBERT WILLIAM JR. RUSSELL (D.C.)

  • Allen Road, Allard Commons, Southgate, Wayne County, Michigan, 48180, United States

    SOUTHGATE, MI 481952921

    Phone: (734) 284-9800

    Fax: (734) 284-9088

    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: 2008-01-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080112000107IChiropracticMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions873100$0
View full utilization report →

Insurance plans in this area (ZIP 48195)

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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: 8921189242View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. HUBERT WILLIAM JR. RUSSELL (D.C.)?
NPI 1720021231 is assigned to DR. HUBERT WILLIAM JR. RUSSELL (D.C.) under the national enumeration system.
Is DR. HUBERT WILLIAM JR. RUSSELL (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. HUBERT WILLIAM JR. RUSSELL (D.C.) work in?
You can think of DR. HUBERT WILLIAM JR. RUSSELL (D.C.) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. HUBERT WILLIAM JR. RUSSELL (D.C.)'s primary listing?
We display Southgate, Michigan because that is what the record indicates for DR. HUBERT WILLIAM JR. RUSSELL (D.C.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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