Russel S Glaun, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

ME70420 Issued in FL

Practice address

1590 NW 10TH Ave
Suite 304
Boca Raton, FL 33486-1313

Phone

(561) 392-4558

Fax

(561) 392-0041

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Dermatology M D P LGroup PAC ID 1355370495, 12 clinicians

Steven M Hacker MD PAGroup PAC ID 8224071824, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00020
• Direct secure messaging: russelsglaunmdpa.russelglaun@118898.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associates in Dermatology M D P L

  • Procedural Dermatology Physician
  • Fort Myers, FL
  • NPI 1811950371
  Medicare reassignment Care Compare group NPD
• Russel S Glaun MD PA

  • Dermatopathology Physician
  • Boca Raton, FL
  • NPI 1831226778
  Medicare reassignment NPD Authorized official
• Steven M Hacker MD PA

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1750407409
  Medicare reassignment Care Compare group NPD
• Dermpath Lab LLC

  • Clinical Medical Laboratory
  • Boca Raton, FL
  • NPI 1295879278
  NPD (past) Authorized official
• Shapiro and Borenstein Dermatology LLP

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1639276694
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1265468417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-392-4558",
            "fax_number": "561-392-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-392-4558",
            "fax_number": "561-392-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUN",
        "first_name": "RUSSEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME70420",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME70420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Glass, O.D.
• Stuart Glass, O.D.
• Lauren Glasser
• Robin Glasser, MS, CCC-SLP
• Mica Donna Esquenazi Glaun, MD
• Marni Klessman Gleiber, MD
• Lori Beth Gleicher, PSY.D.
• Glen Schneider DPM PA
• Steven R. Glickman, D.D.S.
• Gediminas Gliebus, M.D.

• Dermatopathology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.

Verify at the official NPI Registry.