Epiphany Dermatology of Washington PLLC
NPI 1053142778 · Dermatology Physician · Mercer Island, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Epiphany Dermatology of Washington PLLC is a Dermatology Physician organization in Mercer Island, WA (NPI 1053142778).
Provider details
- NPI number
- 1053142778
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Executive Director(512) 628-0465
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Frequently asked questions
- What is Epiphany Dermatology of Washington PLLC's NPI number?
- Epiphany Dermatology of Washington PLLC's National Provider Identifier (NPI) is 1053142778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epiphany Dermatology of Washington PLLC?
- Epiphany Dermatology of Washington PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Epiphany Dermatology of Washington PLLC located?
- Epiphany Dermatology of Washington PLLC's practice location on file with NPPES is 7707 Se 27th St Ste 104, Mercer Island, WA 98040-2844.
- What is Epiphany Dermatology of Washington PLLC's phone number?
- The practice phone number listed in the NPPES registry for Epiphany Dermatology of Washington PLLC is (512) 628-0465.
- Does Epiphany Dermatology of Washington PLLC accept Medicare?
- Epiphany Dermatology of Washington PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Epiphany Dermatology of Washington PLLC?
- The authorized official listed on Epiphany Dermatology of Washington PLLC's NPPES record is Gheorghe Pusta, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Epiphany Dermatology of Washington PLLC's NPI active?
- Yes — Epiphany Dermatology of Washington PLLC's NPI (1053142778) is active in the NPPES registry as of the last update on 2024-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.