Renee J Russell MD Inc
NPI 1316092182 · Family Medicine Physician · Grove, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renee J Russell MD Inc is a Family Medicine Physician organization in Grove, OK (NPI 1316092182).
Provider details
- NPI number
- 1316092182
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renee Russell, Provider(918) 786-3100
- License
- 22021 (OK)
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
19 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
Other names (DBA / former)
- Doing business as
- Grand Lake Primary Care
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2016-11-11
Frequently asked questions
- What is Renee J Russell MD Inc's NPI number?
- Renee J Russell MD Inc's National Provider Identifier (NPI) is 1316092182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renee J Russell MD Inc?
- Renee J Russell MD Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renee J Russell MD Inc located?
- Renee J Russell MD Inc's practice location on file with NPPES is 900 E 13th St, Grove, OK 74344-2975.
- What is Renee J Russell MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Renee J Russell MD Inc is (918) 786-3100.
- Does Renee J Russell MD Inc accept Medicare?
- Renee J Russell MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renee J Russell MD Inc?
- The authorized official listed on Renee J Russell MD Inc's NPPES record is Renee Russell, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renee J Russell MD Inc's NPI active?
- Yes — Renee J Russell MD Inc's NPI (1316092182) is active in the NPPES registry as of the last update on 2016-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.