ROBERT T. RUSSELL M.D. – NPI #1992813174
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

ROBERT RUSSELL is an otolaryngologist located in BLOOMINGTON, IL. NPPES has assigned the NPI number 1992813174 to ROBERT RUSSELL on August 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 11 years ago on Oct 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT RUSSELL below.

NPI Profile for
ROBERT T. RUSSELL

NPI Number
1992813174
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT T. RUSSELL
Credentials
M.D.
Primary location
1404 EASTLAND DR STE 209
BLOOMINGTON, IL 61701-7904
Phone: (309) 662-3277 Fax: (309) 663-0845
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for ROBERT RUSSELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLU CROSS BLUE SHIELD05700224
MEDICAIDIL036082417
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)
IL 036082417

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROBERT RUSSELL is affiliated with the following medical group(s):
  • HOSPITAL
    • CARLE BROMENN MEDICAL CENTER
      1304 FRANKLIN AVENUE
      NORMAL, IL 61761
    • SAINT JAMES HOSPITAL
      2500 WEST REYNOLDS STREET
      PONTIAC, IL 61764
    • ST JOSEPH MEDICAL CENTER
      2200 E WASHINGTON
      BLOOMINGTON, IL 61701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.