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EPIPHANY DERMATOLOGY OF MINNESOTA, LLC
NPI 1356431191
Dermatology in Albert Lea, MN

Active since October 13, 2006CLIA Certified · 2 labs
2718 EKKO AVE, ALBERT LEA, MN 56007(507) 373-2270(507) 373-0363 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Jun 4, 2025, Dec 7, 2023 and 1 more (4 updates tracked since 2019).

About Epiphany Dermatology Of Minnesota, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EPIPHANY DERMATOLOGY OF MINNESOTA, LLC (NPI 1356431191) is a healthcare organization registered as a dermatology in Albert Lea, Minnesota and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Lakeville, and lists Gheorghe Pusta, Vice President, as its authorized official.

NPPES Registry Identity

NPI1356431191
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF MINNESOTA, LLC
Location Address2718 EKKO AVEAlbert Lea, MN 56007-1800
Mailing Address7300 Ranch Rd. 2222, Bldg 1, Ste 200Austin, TX 78730-2309 · (512) 628-0465 · Fax (512) 628-0468
Phone(507) 373-2270
Fax(507) 373-0363
Organization SubpartNo
Authorized OfficialGheorghe PustaVice President · (512) 960-5760
Enumeration DateOctober 13, 2006
Last NPPES UpdateJune 9, 20254 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1356431191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2718 EKKO AVE, Albert Lea, MN 56007
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Secondary Practice Location 1

Location 120520 Keokuk Ave Ste 104Lakeville, MN 55044-6085 · Phone (952) 469-5033 · Fax (952) 469-5069

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0684038

Epiphany Dermatology Of Minnesota, LLC · Albert Lea, MN
Active · expires Apr 21, 2028
CLIA Number24D0684038
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorBrian G. Zogg
Laboratory Phone(507) 373-2270
Laboratory LocationEpiphany Dermatology Of Minnesota, LLC2718 Ekko Ave, Albert Lea, MN 56007
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 24D1055175

Epiphany Dermatology Of Minnesota, LLC · Lakeville, MN
Active · expires Feb 26, 2027
CLIA Number24D1055175
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorRobert J. Zabel
Laboratory Phone(952) 469-5033
Laboratory LocationEpiphany Dermatology Of Minnesota, LLC20520 Keokuk Ave Suite 104, Lakeville, MN 55044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOREFRONT DERMATOLOGY, S.C.
Dermatology
2718 EKKO AVE
ALBERT LEA, MN 56007
Freeborn County (507) 373-2270
DR. BRIAN GERARD ZOGG MD
Dermatology
2718 EKKO AVE
ALBERT LEA, MN 56007
Freeborn County (507) 373-2270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Epiphany Dermatology Of Minnesota, LLC's NPI number?

The NPI number for Epiphany Dermatology Of Minnesota, LLC is 1356431191. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Epiphany Dermatology Of Minnesota, LLC located?

Epiphany Dermatology Of Minnesota, LLC is located at 2718 Ekko Ave, Albert Lea, MN 56007. The listed phone number is (507) 373-2270.

What is Epiphany Dermatology Of Minnesota, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Epiphany Dermatology Of Minnesota, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Epiphany Dermatology Of Minnesota, LLC accept?

Health plans from Medica and Sanford Health Plan list Epiphany Dermatology Of Minnesota, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Epiphany Dermatology Of Minnesota, LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.