What is Samuel Russo's NPI number?

Samuel Russo's National Provider Identifier (NPI) is 1912886375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Samuel Russo's specialty?

Samuel Russo is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Samuel Russo located?

Samuel Russo's practice location on file with NPPES is 13100 Manchester Rd Ste 175, Des Peres, MO 63131-1729.

What is Samuel Russo's phone number?

The practice phone number listed in the NPPES registry for Samuel Russo is (314) 275-0658.

Is Samuel Russo's NPI active?

Yes — Samuel Russo's NPI (1912886375) is active in the NPPES registry as of the last update on 2025-08-29.

IndividualActive

Samuel Russo, RDN

NPI 1912886375 · Registered Dietitian · Des Peres, MO

Samuel Russo, RDN is a Registered Dietitian provider in Des Peres, MO (NPI 1912886375).

Provider details

NPI number: 1912886375
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RDN
Sex: Male
Sole proprietor: No
License: 86436000 (MO)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 86436000 (MO)
Dietary & Nutritional Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

13100 Manchester Rd Ste 175

Des Peres, MO 63131-1729

Phone: (314) 275-0658

Street-level locationGet directions

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Mailing address