Mariela Perez Russo, MD, CNS
NPI 1811474612ActiveIndividual· Nutritionist· Trumbull, CT
Nutritionist (MD, CNS) in Trumbull, Connecticut, licensed in CT, with an NPI issued in July 2018.
Overview
| NPI | 1811474612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, CNS |
| Sole proprietor | Yes |
| NPI issued | Jul 24, 2018 |
| Last updated in NPPES | Jul 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
| Nutritionist | 133N00000X | 1644 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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