Martin T. Russo, DO
Family Medicine Physician · Grand Haven, MI
Martin T. Russo, DO is a family medicine physician with a practice address in Grand Haven, Michigan, and NPI 1508876236, issued on Aug 8, 2006. Check the license (Michigan 5101014183, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Martin T. Russo
- Credential
- DO
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 5101014183 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1310 Wisconsin Ave Ste 103, Grand Haven, MI 49417
- Phone
- (616) 846-2640
- Enumerated
- Aug 8, 2006
- Record last updated
- Jun 11, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (616) 846-3110
- Medicaid ID
- 4094275 MI
- Medicare enrollment
- Enrolled (PECOS I20040614001359); accepts Medicare assignment
- Medical or professional school
- Midwestern University, Chicago College Of Osteopathic Med, 1978
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 6,013 in Michigan → Look up another NPI →
Verify Martin T. Russo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 5101014183Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mercy Physician NetworkMuskegon, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Martin T. Russo among 6,013 family medicine physician records in Michigan
Martin T. Russo, DO is one of 6,013 family medicine physician records with a practice address in Michigan. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 56% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated1978 · median 2008 among the 3,493 with a school on file
- Record last updated2018 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
30 family medicine physician records list a practice address in Grand Haven
They are 30 of the 665 NPPES records with a practice address in Grand Haven, and 6,013 family medicine physician records in Michigan.
All 6,013 in Michigan → Every provider in Grand Haven → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Molly Crissman, MDGrand Haven, MI 494171902808165
- Stanley Haegert, MDGrand Haven, MI 494171154405009
- Kyle Kramer, DOGrand Haven, MI 494171568588432
- Ruchira Mehra, MDGrand Haven, MI 494171932397627
- David Ottenbaker, MDGrand Haven, MI 494171386648624
- Larry Poel, D.O.Grand Haven, MI 494171134121270
- James Postema, DOGrand Haven, MI 494171457321119
- Daniel Powers, M.D.Grand Haven, MI 494171285636324
Common questions
What is Martin T. Russo, DO's NPI number?
Martin T. Russo, DO's National Provider Identifier (NPI) is 1508876236, issued on Aug 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Martin T. Russo, DO located?
The NPPES record lists a practice address at 1310 Wisconsin Ave Ste 103, Grand Haven, MI, 49417. Phone: (616) 846-2640. Providers update this record themselves, so call before visiting.
How can I verify Martin T. Russo, DO's license?
NPPES lists Michigan license number 5101014183, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.