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

Dr. Russell J Cavallo, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1023011327

Dr. Russell J Cavallo, MD is a Sports Medicine in Rye Brook, New York. Qualified in 1992, 34 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
34
Licensed in
CT, NY
In the registry since
2005
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

90 S Ridge St Ste UL-1
Rye Brook, NY 10573-2867
Phone: (914) 708-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 196211 (NY)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 038069 (CT)

Record details

NPI number1023011327
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESOctober 4, 2011

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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