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

Mark William Russo, MD

Individual provider Internal Medicine Physician · NPI 1588745392

Mark William Russo, MD is a Gastroenterology in Greensboro, North Carolina. Graduated from Icahn School of Medicine at Mount Sinai in 1992, 34 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
34
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NC
In the registry since
2006
Specialties on file
3
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

1126 N Church St Ste 201
Greensboro, NC 27401-1000
Phone: (336) 235-0866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-0520
  • 10502 Park Rd, Charlotte, NC 28210-8479 — (704) 667-1550
  • 16455 Statesville Rd, Huntersville, NC 28078-7135 — (704) 801-3011

Specialties & licences

Transplant Hepatology Physician (primary) Taxonomy 207RT0003X · Licence 9500209 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 9500209 (NC)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 9500209 (NC)

Record details

NPI number1588745392
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1992 (34 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Greensboro