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

Dr. Sam Nicholas Russo, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1023468733

Dr. Sam Nicholas Russo, MD is a Pediatric Medicine in Houston, Texas. Qualified in 2016, 10 years ago. Practices with UT Physicians, a 1,732-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
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

6410 Fannin St Ste 500
Houston, TX 77030-3000
Phone: (832) 325-6516
Fax: (713) 512-2248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 Holcombe Blvd, Houston, TX 77030-4000 — (713) 792-6161

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence R5931 (TX)

Record details

NPI number1023468733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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