John Russomanno, MD
Internal Medicine, Pulmonary Disease in Hartford, CT. Individual provider (NPI-1).
NPI number1023112596
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1023112596
- Entity type
- Individual (NPI-1)
- Name
- John Russomanno
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Feb 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PULMONARY DISEASE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 031537 | CT | Yes |
Practice location
85 Seymour StSuite 923
Hartford, CT 06106-5501
Phone 860-247-1876 · Fax 860-520-1379
Mailing address
2110 Silas Deane HwyRocky Hill, CT 06067-2313
Phone 860-258-3480 · Fax 860-571-6800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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