EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
NPI 1447615760
Dermatology in Albuquerque, NM
About Epiphany Dermatology Of New Mexico, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC (NPI 1447615760) is a healthcare organization registered as a dermatology in Albuquerque, New Mexico and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Gheorghe Pusta, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Epiphany Dermatology Of New Mexico, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Epiphany Dermatology Of New Mexico, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 32Albuquerque, NM 87131
Albuquerque, NM 87131
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 Waiver 32D2123056
Epiphany Dermatology Of New Mexico, LLC · Albuquerque, NMFrequently 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 New Mexico, LLC's NPI number?
The NPI number for Epiphany Dermatology Of New Mexico, LLC is 1447615760. It was assigned to this organization in the NPPES registry on December 31, 2015.
Where is Epiphany Dermatology Of New Mexico, LLC located?
Epiphany Dermatology Of New Mexico, LLC is located at 5600 Eubank Blvd NE Ste 110, Albuquerque, NM 87111. The listed phone number is (512) 628-0465.
What is Epiphany Dermatology Of New Mexico, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Epiphany Dermatology Of New Mexico, LLC enrolled in Medicare?
Yes. Epiphany Dermatology Of New Mexico, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Epiphany Dermatology Of New Mexico, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 3 Medicare specialties reassign their Medicare billing to Epiphany Dermatology Of New Mexico, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (21), Nurse Practitioner (10) and Internal Medicine (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Epiphany Dermatology Of New Mexico, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2123056) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Epiphany Dermatology Of New Mexico, LLC accept?
Health plans from WellPoint list Epiphany Dermatology Of New Mexico, 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 New Mexico, LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Epiphany Dermatology Of New Mexico, Llc · NPI 1447615760
Dermatology organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since December 31, 2015.
## Identity
- **NPI:** 1447615760 (Entity type: Organization)
- **Enumerated:** December 31, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Gheorghe Pusta, MANAGER
## Practice location
- **Address:** 5600 EUBANK BLVD NE, STE 110, Albuquerque, NM 87111-1519
- **Phone:** (512) 628-0465 · **Fax:** (512) 628-0468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (21), Nurse Practitioner (10), Internal Medicine (1); 2 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1447615760/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447615760) · Data from the CMS NPPES public registry.