RUSSEL S GLAUN MD PA
NPI 1831226778
Dermatology - Dermatopathology in Boca Raton, FL

Active since February 27, 2007CLIA 10D0979214 · Certificate of Compliance
1590 NW 10TH AVE, SUITE 304, BOCA RATON, FL 33486(561) 392-4558(561) 392-0041 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Russel S Glaun Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSEL S GLAUN MD PA (NPI 1831226778) is a healthcare organization registered as a dermatopathology in Boca Raton, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2026 and lists Russel Selwyn Glaun, President, as its authorized official.

NPPES Registry Identity

NPI1831226778
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameRUSSEL S GLAUN MD PA
Location Address1590 NW 10TH AVE, SUITE 304Boca Raton, FL 33486-1313
Mailing Address1590 Nw 10th Ave, Suite 304Boca Raton, FL 33486-1313 · (561) 392-4558 · Fax (561) 392-0041
Fax(561) 392-0041
Organization SubpartNo
Authorized OfficialRussel Selwyn GlaunPresident · (561) 392-4558
Enumeration DateFebruary 27, 2007
Last NPPES UpdateDecember 12, 2008
✔ NPI 1831226778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in FL · ME70420
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
1590 NW 10TH AVE, Boca Raton, FL 33486

Other Identifiers 2

Medicare UPING-27426FL
Medicare ID-Type Unspecified31311AFL · Medicare Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russel S Glaun Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Russel S Glaun MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1265468417
1590 NW 10TH AVE SUITE 304
Boca Raton, FL 33486
(561) 392-4558
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0979214

Russel S Glaun MD PA · Boca Raton, FL
Active · expires Nov 15, 2026
CLIA Number10D0979214
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDr. Russel S. Glaun
Laboratory Phone(561) 392-4558
Laboratory LocationRussel S Glaun MD PA1590 NW 10th Ave Ste 304, Boca Raton, FL 33486
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russel S Glaun MD PA's NPI number?

The NPI number for Russel S Glaun MD PA is 1831226778. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Russel S Glaun MD PA located?

Russel S Glaun MD PA is located at 1590 NW 10th Ave Suite 304, Boca Raton, FL 33486. The listed phone number is (561) 392-4558.

What is Russel S Glaun MD PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Russel S Glaun MD PA enrolled in Medicare?

Yes. Russel S Glaun MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Russel S Glaun MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Russel S Glaun MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Russel S Glaun MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0979214) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Russel S Glaun MD PA was last updated on December 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.