Faven Russom, MD
NPI 1700588696 · Student in an Organized Health Care Education/Training Program · Boston, MA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Faven Russom, MD is a Student in an Organized Health Care Education/Training Program provider in Boston, MA (NPI 1700588696).
Provider details
- NPI number
- 1700588696
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Frequently asked questions
- What is Faven Russom's NPI number?
- Faven Russom's National Provider Identifier (NPI) is 1700588696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Faven Russom's specialty?
- Faven Russom is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Faven Russom located?
- Faven Russom's practice location on file with NPPES is 801 Albany St, Boston, MA 02119-2560.
- What is Faven Russom's phone number?
- The practice phone number listed in the NPPES registry for Faven Russom is (617) 355-8241.
- Does Faven Russom accept Medicare?
- Faven Russom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Faven Russom's NPI active?
- Yes — Faven Russom's NPI (1700588696) is active in the NPPES registry as of the last update on 2023-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.