Epiphany Dermatology of Utah LLC
NPI 1548680184ActiveOrganization· Dermatology· Salt Lake City, UT
Dermatology in Salt Lake City, Utah, registered in NPPES in April 2014. The authorized official on file is Gheorghe Pusta, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548680184 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2014 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 8963761-1204 | UT |
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 (UT) |
|---|
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