Epiphany Dermatology of Iowa, PLC
NPI 1104451749 · Dermatology Physician · Cedar Rapids, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Epiphany Dermatology of Iowa, PLC is a Dermatology Physician organization in Cedar Rapids, IA (NPI 1104451749).
Provider details
- NPI number
- 1104451749
- 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
6 yrs 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
- 2020-03-04
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Frequently asked questions
- What is Epiphany Dermatology of Iowa, PLC's NPI number?
- Epiphany Dermatology of Iowa, PLC's National Provider Identifier (NPI) is 1104451749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epiphany Dermatology of Iowa, PLC?
- Epiphany Dermatology of Iowa, PLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Epiphany Dermatology of Iowa, PLC located?
- Epiphany Dermatology of Iowa, PLC's practice location on file with NPPES is 5264 Council St Ne Ste 700, Cedar Rapids, IA 52402-2477.
- What is Epiphany Dermatology of Iowa, PLC's phone number?
- The practice phone number listed in the NPPES registry for Epiphany Dermatology of Iowa, PLC is (319) 363-9963.
- Does Epiphany Dermatology of Iowa, PLC accept Medicare?
- Epiphany Dermatology of Iowa, PLC 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 Iowa, PLC?
- The authorized official listed on Epiphany Dermatology of Iowa, PLC'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 Iowa, PLC's NPI active?
- Yes — Epiphany Dermatology of Iowa, PLC's NPI (1104451749) is active in the NPPES registry as of the last update on 2023-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.