MR. JONATHAN R. RUSSELL (M.D.) – Obstetrics & Gynecology Physician, NPI 1336142553

MR. JONATHAN R. RUSSELL (M.D.) is a healthcare provider. based in Houston, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. L0557 (TX). The NPI Number for MR. JONATHAN R. RUSSELL (M.D.) is 1336142553

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. JONATHAN R. RUSSELL (M.D.)
NPI
1336142553
Phone
(832) 698-5500
Address
18220 STATE HIGHWAY 249 STE 200
Enumeration Date
23 May 2005
Deactivation Date
15 March 2006
Reactivation Date
21 March 2006
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7132669955
Graduation Year
1996 (30 years ago)
PAC ID
4880733310
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20091123000412
Address ID
TX770631777HO7575XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for MR. JONATHAN R. RUSSELL (M.D.)

  • 18220 STATE HIGHWAY 249 STE 200

    HOUSTON, TX 770704370

    Phone: (832) 698-5500

    Type: Mailing

  • Louetta Road, Houston, Harris County, Texas, 77070, United States of America

    SUITE G

    HOUSTON, TX 770702118

    Phone: (832) 698-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,260.

Total Amount is formed as General ($1,260) + Research ($0) + Ownership ($0) = $1,260.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($359).

Total Amount

$1,260

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-11-23

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
I20091123000412IObstetrics/GynecologyTXTBD

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 77070)

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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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
N E U R O L O G YTX
Otolaryngology, Plastic And Reconstructive SurgeryTX
H E M A T O L O G Y/ O N C O L O G YFL
Radiation OncologyGA
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows MR. JONATHAN R. RUSSELL (M.D.) across health systems?
The NPI 1336142553 uniquely identifies MR. JONATHAN R. RUSSELL (M.D.) in U.S. healthcare data.
Quick check: is MR. JONATHAN R. RUSSELL (M.D.) active?
Public NPPES data shows MR. JONATHAN R. RUSSELL (M.D.) with an active NPI status right now.
What services align with MR. JONATHAN R. RUSSELL (M.D.)'s listing?
MR. JONATHAN R. RUSSELL (M.D.)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JONATHAN R. RUSSELL (M.D.)?
MR. JONATHAN R. RUSSELL (M.D.) shows a connection to Houston, Texas in registry-derived data.
Can I export MR. JONATHAN R. RUSSELL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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