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Korah Ann Russell

NPI 1922809672ActiveIndividual· Pediatrics, Developmental - Behavioral Pediatrics· Kirkwood, NY

Pediatrics, Developmental - Behavioral Pediatrics in Kirkwood, New York, licensed in NY, with an NPI issued in March 2025.

Overview

NPI1922809672
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 20, 2025
Last updated in NPPESMar 20, 2025
Certified by providerMar 20, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics, Developmental - Behavioral Pediatrics Primary2080P0006X3182214NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records