REBEKAH OLAOLUWA RUSSELL (DO) – Internal Medicine Physician, NPI 1821593666

REBEKAH OLAOLUWA RUSSELL (DO) is a healthcare provider. based in Temple, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. T0529 (TX). The NPI Number for REBEKAH OLAOLUWA RUSSELL (DO) is 1821593666

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
REBEKAH OLAOLUWA RUSSELL (DO)
NPI
1821593666
Phone
(254) 724-2364
Address
2401 S 31ST ST # MS 01161B
Enumeration Date
26 March 2018
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4058353428
Graduation Year
2019 (7 years ago)
PAC ID
1254688559
Group Practice PAC ID
7315471422
Professional Enrollment ID
I20240508004103
Address ID
OK731032400OK1211XAVEX403
Telehealth
Yes

Contacts

Secure Messaging
rjohn294203@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

13,290 INTERNAL MEDICINE in TX

Provider Addresses for REBEKAH OLAOLUWA RUSSELL (DO)

  • 2401 S 31ST ST # MS 01161B

    TEMPLE, TX 765080001

    Phone: (254) 724-2364

    Type: Mailing

  • 921 NE 13TH ST

    OKLAHOMA CITY, OK 731045007

    Phone: (405) 456-1000

    Type: Mailing

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 1605 S 31ST ST

    TEMPLE, TX 765080001

    Phone: (254) 215-0100

    Fax: (254) 215-0636

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($68).

Total Amount

$150

General + Research + Ownership

Payments

5

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2024-05-08

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
I20240508004103IInternal MedicineOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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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: 7315471422View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I verify REBEKAH OLAOLUWA RUSSELL (DO) with an NPI only?
You can start verification with NPI 1821593666 for REBEKAH OLAOLUWA RUSSELL (DO), then check state licensing separately.
Can I rely on REBEKAH OLAOLUWA RUSSELL (DO) being an active provider?
As of the registry snapshot, REBEKAH OLAOLUWA RUSSELL (DO) is marked active.
What healthcare role does REBEKAH OLAOLUWA RUSSELL (DO) hold?
Scheduling teams often label REBEKAH OLAOLUWA RUSSELL (DO) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does REBEKAH OLAOLUWA RUSSELL (DO) serve?
REBEKAH OLAOLUWA RUSSELL (DO)'s listing highlights Temple, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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