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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548502701

Daniela Cotrim Russi, MD is a Dermatology in Phoenix, Arizona. Qualified in 1999, 27 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
27
Licensed in
AZ
In the registry since
2013
Specialties on file
2
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

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0895
Fax: (602) 933-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1775 Dempster St, Park Ridge, IL 60068-1143 — (847) 723-5986
  • 1775 Dempster St, Park Ridge, IL 60068-1143 — (847) 723-5986

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X · Licence 54651 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548502701
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 27, 2018

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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