DR. RUSSELL C CANTRELL (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1023097904

DR. RUSSELL C CANTRELL (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials M.D.. They hold a License No. 103654 (MO). The NPI Number for DR. RUSSELL C CANTRELL (M.D.) is 1023097904

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL C CANTRELL (M.D.)
NPI
1023097904
Phone
(314) 966-8887
Address
PO BOX 843857
Enumeration Date
10 January 2006
Last Update Date
6 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
3144512225
Graduation Year
1989 (37 years ago)
PAC ID
0749387470
Group Practice PAC ID
0749545036
Professional Enrollment ID
I20100908000797
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

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Provider Addresses for DR. RUSSELL C CANTRELL (M.D.)

  • PO BOX 843857

    KANSAS CITY, MO 641843857

    Phone: (314) 966-8887

    Fax: (314) 966-3869

    Type: Mailing

  • 1001, South Kirkwood Road, Windsor Springs, Kirkwood, Saint Louis County, Missouri, 63122, United States

    SUITE 120

    SAINT LOUIS, MO 631227250

    Phone: (314) 966-8887

    Fax: (314) 966-3869

    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: 2010-09-08

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
I20100908000797IPhysical Medicine And RehabilitationMOTBD

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 64184)

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Reviews

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Frequently asked questions

How do payers reference DR. RUSSELL C CANTRELL (M.D.)?
For DR. RUSSELL C CANTRELL (M.D.), use NPI 1023097904 as the unique 10-digit identifier.
Is DR. RUSSELL C CANTRELL (M.D.) still an active registrant?
DR. RUSSELL C CANTRELL (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. RUSSELL C CANTRELL (M.D.)?
DR. RUSSELL C CANTRELL (M.D.)'s record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. RUSSELL C CANTRELL (M.D.) registered?
Use Kansas City, Missouri as the headline location for DR. RUSSELL C CANTRELL (M.D.) here.
Does DR. RUSSELL C CANTRELL (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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