Epiphany Dermatology of Washington PLLC
NPI 1053142778ActiveOrganization· Dermatology· Mercer Island, WA
Dermatology in Mercer Island, Washington, registered in NPPES in August 2024. The authorized official on file is Gheorghe Pusta, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053142778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2024 |
| Last updated in NPPES | Aug 13, 2024 |
| Certified by provider | Aug 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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