Gary E Russolillo MD PC
NPI 1710128699ActiveOrganization· Plastic Surgery· West Hartford, CT
Plastic Surgery in West Hartford, Connecticut, registered in NPPES in March 2009. The authorized official on file is Gary Edward Russolillo, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1710128699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2009 |
| Last updated in NPPES | Mar 23, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (MA) |
|---|
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