RUSSELL B CALDWELL (MD) – Dermatology Physician, NPI 1831166404

Dermatology Physician

RUSSELL B CALDWELL (MD) is a healthcare provider. based in Bellevue, Washington. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. MD00015594 (WA). The NPI Number for RUSSELL B CALDWELL (MD) is 1831166404

Main info

Male

Sole Proprietor

51 Years Of Experience

Accepts Medicare Assignment

Name

RUSSELL B CALDWELL (MD)

NPI

1831166404

Phone

(425) 455-2275

Address

1810 116TH AVE NE

Enumeration Date

2 March 2006

Last Update Date

7 July 2011

Doctor Profile

Medical School Name

CREIGHTON UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

2065984333

Graduation Year

1975 (51 years ago)

PAC ID

7416848650

Group Practice PAC ID

0446162697

Professional Enrollment ID

I20091009000053

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 RUSSELL B CALDWELL (MD)

1810, 116th Avenue Northeast, Northup, Bellevue, King County, Washington, 98004, United States
SUITE 100
BELLEVUE, WA 980043058
Phone: (425) 455-2275
Fax: (425) 455-1511
Type: Mailing
116th Avenue Northeast, Northup, Bellevue, King County, Washington, 98004-4452, United States
SUITE 100
BELLEVUE, WA 980043058
Phone: (425) 455-2275
Fax: (425) 455-1511
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 98004)

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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: 0446162697View full group profile

Name	Specialty	State
SANDHYA RAMANATHAN PANCH (M.D.)	H E M A T O L O G Y	WA
TIMOTHY WILLIAM MENZA (MD, PHD)	Infectious Disease	OR
KAYLEE PETERSEN (ARNP)	-	WA
MR. PATRICK LEFEBVRE HAINS (LICSW)	-	WA
BROOKE ELIZABETH PARKER (DO)	Family Practice	WA
EMILY J. GROSSNIKLAUS (M.D.)	-	WA
NOAH BURTON DASSEL (FNP)	-	WA
ANA BACIC	-	WA
KAITLIN ELIZABETH VERNI	-	WA
ERIN D. SHADE (PA-C)	-	WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for RUSSELL B CALDWELL (MD)?

RUSSELL B CALDWELL (MD) — NPI 1831166404 — is the standard way to identify this listing.

Can I rely on RUSSELL B CALDWELL (MD) being an active provider?

As of the registry snapshot, RUSSELL B CALDWELL (MD) is marked active.

What is RUSSELL B CALDWELL (MD)'s specialty?

The listing groups RUSSELL B CALDWELL (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.

What address line appears for RUSSELL B CALDWELL (MD)?

RUSSELL B CALDWELL (MD)'s geographic hint is Bellevue, Washington in our summary view.

Why does RUSSELL B CALDWELL (MD) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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