DE ANTE RUSS – Emergency Medicine Physician, NPI 1811423502

DE ANTE RUSS is a healthcare provider. based in Brunswick, Ohio. specializing in EMERGENCY MEDICINE. They hold a License No. 35.135938 (OH). The NPI Number for DE ANTE RUSS is 1811423502

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DE ANTE RUSS
NPI
1811423502
Phone
(330) 558-0123
Address
4065 Center Rd
Enumeration Date
2 May 2017
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409604000
Graduation Year
2017 (9 years ago)
PAC ID
4385970250
Group Practice PAC ID
0244605608
Professional Enrollment ID
I20190730003361
Address ID
OH440531611LO3700XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

2,674 EMERGENCY MEDICINE in OH

Provider Addresses for DE ANTE RUSS

  • 4065 Center Rd

    Brunswick, OH 442122918

    Phone: (330) 558-0123

    Type: Location

  • 3000, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436142595

    Phone: (330) 388-7856

    Type: Location

  • Evergreen Road, Ottawa Hills, Lucas County, Ohio, 43606:43615, United States

    OTTAWA HILLS, OH 436062547

    Phone: (330) 388-7856

    Type: Mailing

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: 2020-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190730003361IEmergency MedicineOHTBD
I20200721001708IEmergency MedicineTNTBD

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
99285Emergency department visit with high level of medical decision making171165$0
99284Emergency department visit with moderate level of medical decision making9187$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5352$0
99291Critical care, first 30-74 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 44212)

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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: 0244605608View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to DE ANTE RUSS?
NPI 1811423502 is assigned to DE ANTE RUSS under the national enumeration system.
Is DE ANTE RUSS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DE ANTE RUSS work in?
You can think of DE ANTE RUSS as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DE ANTE RUSS?
The snapshot lists Brunswick, Ohio for DE ANTE RUSS; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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