Epiphany Dermatology of New Mexico, LLC
NPI 1447615760ActiveOrganization· Dermatology· Albuquerque, NM
Dermatology in Albuquerque, New Mexico, registered in NPPES in December 2015. The authorized official on file is Gheorghe Pusta, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447615760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2015 |
| Last updated in NPPES | Dec 7, 2023 |
| Certified by provider | Dec 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 88-97 | NM |
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 (NM) |
|---|
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