Active NPI
Steven M Glanz
- Dermatology Physician
- Boca Raton, FL
National Provider Identifier
1003925173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME58607
- Practice address
- 7112 Beracasa Way
Suite 125
Boca Raton, FL 33433 - Phone
- (561) 322-8545
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME58607 | FL | Primary |
| Dermatopathology Physician | 207ND0900X | ME58607 | FL |
Addresses
Primary practice location
7112 Beracasa Way
Suite 125
Boca Raton, FL 33433
Mailing address
1180 SW 18TH St
Boca Raton, FL 33486-6762
Phone (561) 322-8545
Other practice location 1
1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott D Beede MD PA | Past | Accepting new patients | |
| Skin Care Physicians | Dermatology | Past | Accepting new patients |
| Adult and Pediatric Dermatology Practitioners P a | Past | Accepting new patients | |
| American Mobile Dermatology LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Stuart, FL
- NPI 1528731569
-
- Specialist
- Boynton Beach, FL
- NPI 1821125584
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1396921904
-
dba Boynton Beach Skin Institute
- Dermatology Physician
- Boynton Beach, FL
- NPI 1417099342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1003925173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 SW 18TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334866762",
"telephone_number": "561-322-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7112 BERACASA WAY",
"address_2": "SUITE 125",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33433",
"telephone_number": "561-322-8545"
}
],
"practiceLocations": [
{
"address_1": "1131 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061226",
"country_code": "US",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLANZ",
"first_name": "STEVEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2024-04-03",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME58607",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME58607",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.