RUSSELL AMUNDSON, MD — NPI 1609816354 (Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) in PHILA, PA)

CMS-1500 Box 24J / 33a • NPI

1609816354

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207T00000X (CMS 02)

Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)

Box 32 Service Location & ZIP+4

5401 OLD YORK RD, SUITE 501, PHILA, PA, 19141-3030

✓ 9-Digit EDI 837 ZIP+4 (19141-3030)

Practice Phone & Referral Fax

(215) 456-6127

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1609816354 (RUSSELL AMUNDSON, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1609816354` (NPI-1 Individual Practitioner)
Provider / Legal Name	RUSSELL AMUNDSON, MD
Plain-English Specialty	Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) NUCC Code: `207T00000X` (Neurological Surgery)
Certifying / Licensing Body	American Board of Neurological Surgery (ABNS)
Practice Location Address	5401 OLD YORK RD, SUITE 501, PHILA, PA, 19141-3030
Practice Telephone / Fax	Tel: (215) 456-6127
Administrative Mailing Address	101 E OLNEY AVE, PHILA, PA, 19120-2421
Enumeration & Last Sync	Enumerated: 2006-06-08 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5401 OLD YORK RD, SUITE 501, PHILA, PA, 19141-3030

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Plain-English Taxonomy & CMS Crosswalk (207T00000X)

What Does Taxonomy Code 207T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207T00000X translates to:
"Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 14 (Physician/Neurosurgery)
Certifying / Accrediting Authority: American Board of Neurological Surgery (ABNS)
Clinical Scope: Brain tumors, cerebral aneurysms, spinal cord compression, herniated discs with motor weakness, hydrocephalus, or cranial CSF leaks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RUSSELL AMUNDSON, MD)

Typical CPT / Diagnostic Procedures:

Microsurgical Craniotomy for Brain Tumors & Intracranial Aneurysm Clipping/Coiling
Anterior Cervical Discectomy & Fusion (ACDF) & Lumbar Microdiscectomy
Endoscopic Skull-Base Repair of Cerebrospinal Fluid (CSF) Rhinorrhea/Otorrhea
Ventriculoperitoneal (VP) Shunt Placement for Hydrocephalus

Common Therapeutic Classes:

Dexamethasone (Cerebral Edema Reduction) & Levetiracetam (Seizure Prophylaxis)
Mannitol & Hypertonic Saline (Intracranial Pressure Management)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207T00000X` — Neurological Surgery Plain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)	State: PA \| License: `MD428933` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RUSSELL AMUNDSON, MD (NPI #1609816354)