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

Mrs. Trina Mary Russo, DPM

Individual provider Podiatrist · NPI 1174500862

Mrs. Trina Mary Russo, DPM is a Podiatry in Eastpointe, Michigan. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

20967 Kelly Rd
Eastpointe, MI 48021
Phone: (586) 779-8600
Fax: (586) 779-2019
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence TR001571 (MI)

Record details

NPI number1174500862
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedDecember 23, 2005
Last updated in NPPESDecember 29, 2016

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eastpointe