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

Individual provider Family Medicine Physician · NPI 1194887125

Dr. Michael Russo, MD is a Family Practice in Marrero, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
35
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2006
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

1111 Medical Center Blvd Ste S-555
Marrero, LA 70072-3151
Phone: (504) 349-6808
Fax: (504) 349-6811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21692 (LA)

Record details

NPI number1194887125
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESMay 20, 2008
Mailing address1111 Medical Center Blvd, Suite S-555, Marrero, LA 70072-3151

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Marrero