Samuel Russell, MD
NPI 1215564265 · Pediatrics Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Russell, MD is a Pediatrics Physician provider in San Diego, CA (NPI 1215564265).
Provider details
- NPI number
- 1215564265
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A186031 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Frequently asked questions
- What is Samuel Russell's NPI number?
- Samuel Russell's National Provider Identifier (NPI) is 1215564265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Russell's specialty?
- Samuel Russell is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Russell located?
- Samuel Russell's practice location on file with NPPES is 3020 Childrens Way, San Diego, CA 92123-4223.
- What is Samuel Russell's phone number?
- The practice phone number listed in the NPPES registry for Samuel Russell is (858) 966-8800.
- Does Samuel Russell accept Medicare?
- Samuel Russell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Russell's NPI active?
- Yes — Samuel Russell's NPI (1215564265) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.