DR. EDUARDO OZUNA M.D.
NPI 1003007469
Anesthesiology - Pain Medicine in New Braunfels, TX

NPI Status: Active since August 09, 2007

Contact Information

55 GRUENE PARK DR
NEW BRAUNFELS, TX
ZIP 78130
Phone: (830) 379-8800
Fax: (830) 372-1600

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  • Individual
  • Male
  • Years of Experience 18
  • Anesthesiology
  • Pain Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About EDUARDO OZUNA

Eduardo Ozuna is a provider established in New Braunfels, Texas and his medical specialization is Anesthesiology with a focus in pain medicine with more than 18 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1003007469 assigned on August 2007. The practitioner's primary taxonomy code is 207LP2900X with license number N5308 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1003007469
Provider Name
DR. EDUARDO OZUNA M.D.
Gender
Male
Entity Type
Individual
Location Address
55 GRUENE PARK DR NEW BRAUNFELS, TX 78130
Location Phone
(830) 379-8800
Location Fax
(830) 372-1600
Mailing Address
126 SCHOONER DR LAKEWAY, TX 78738
Mailing Phone
(254) 245-9177
Mailing Fax
(830) 372-1600
Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
08-09-2007
Last Update Date
08-25-2022
Code Navigator

Eduardo Ozuna is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
N5308
License State
TX
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Location Map

Secondary Locations

  • 1006 E Kingsbury St
    Seguin, TX 78155
    (830) 379-8800
  • 3303 Oakwell Ct Ste 130
    San Antonio, TX 78218
    (830) 433-9279

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

N5308 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
    • Blue Advantage Gold HMO℠ 603 - HMO
    • Blue Advantage Gold HMO℠ 706 - HMO
    • Blue Advantage Plus Bronze℠ 303 - POS
    • Blue Advantage Plus Bronze℠ 305 - POS
    • Blue Advantage Plus Bronze℠ 707 - POS
    • Blue Advantage Plus Gold℠ 203 - POS
    • Blue Advantage Plus Gold℠ 706 - POS
    • Blue Advantage Plus Gold℠ 803 - POS
    • Blue Advantage Plus Silver℠ 202 - POS
    • Blue Advantage Plus Silver℠ 605 - POS
    • Blue Advantage Plus Silver℠ 705 - POS
    • Blue Advantage Security HMO℠ 200 - HMO
    • Blue Advantage Silver HMO℠ 205 - HMO
    • Blue Advantage Silver HMO℠ 705 - HMO
    • Blue Advantage Silver HMO℠ 801 - HMO
  • CHRISTUS Health Plan

    • CHRISTUS Bronze - HMO
    • CHRISTUS Bronze Basic - HMO
    • CHRISTUS Bronze Plus - HMO
    • CHRISTUS Catastrophic - HMO
    • CHRISTUS Gold - HMO
    • CHRISTUS Gold Plus - HMO
    • CHRISTUS Silver - HMO
    • CHRISTUS Silver HD - HMO
    • CHRISTUS Standard Expanded Bronze - HMO
    • CHRISTUS Standard Gold - HMO
    • CHRISTUS Standard Silver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Eduardo Ozuna is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113108705

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110302000745

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Eduardo Ozuna is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
GUADALUPE REGIONAL MEDICAL CENTER1215 E COURT ST
SEGUIN, TX 78155
(830) 379-2411Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003007469
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030014412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 4 + 1 + 2 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003007469 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811920341TEXAS HILL COUNTRY ORTHOPAEDICS, P.A.
Organization
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 625-5252
1437175411MR. ROBERT BRADLEY RAY MD
Individual
Orthopaedic Surgery55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 625-5252
1720035538IRVIN SAHNI, M.D. PA.
Organization
Specialist55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 379-8800
1033105473DR. GREGORY W NELSON FNP-C, DC
Individual
Nurse Practitioner (Family)55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 379-8800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003007469, enumerated in the NPI registry as an "individual" on August 09, 2007

The provider is located at 55 Gruene Park Dr New Braunfels, Tx 78130 and the phone number is (830) 379-8800

The provider's speciality is Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider has more than 18 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2006.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and CHRISTUS. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): GUADALUPE REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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