Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel P Russo, MD

Individual provider Otolaryngology Physician · NPI 1437736543

Daniel P Russo, MD is an Otolaryngology in Charlottesville, Virginia. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1240 Lee St
Charlottesville, VA 22908-0817
Phone: (434) 924-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 263 Farmington Avenue, Farmington, CT 06030-8083 — (860) 679-6522
  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-5700

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 0101288304 (VA)

Record details

NPI number1437736543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing addressPo Box 749112, Atlanta, GA 30374-9112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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