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

Russl Altabtabaee, DPM

Individual provider Podiatrist · NPI 1528633096

Russl Altabtabaee, DPM is a Podiatry in Worcester, Massachusetts. Qualified in 2021, 5 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Ohio.

Years since qualifying
5
Licensed in
MA, OH
In the registry since
2021
Specialties on file
3
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-5500
Fax: (508) 334-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 119 Belmont St, Worcester, MA 01605-2903 — (508) 334-5500
  • 2351 E 22nd St, Cleveland, OH 44115-3111 — (216) 861-6200

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PDF2560 (MA)
Podiatrist Taxonomy 213E00000X · Licence 59.000894 (OH)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence PDF2560 (MA)

Record details

NPI number1528633096
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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