Epiphany Dermatology of Minnesota, LLC
NPI 1356431191 · Dermatology Physician · Albert Lea, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Epiphany Dermatology of Minnesota, LLC is a Dermatology Physician organization in Albert Lea, MN (NPI 1356431191).
Provider details
- NPI number
- 1356431191
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Vice President(512) 960-5760
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 20520 Keokuk Ave Ste 104Lakeville, MN 55044-6085Phone: (952) 469-5033Fax: (952) 469-5069
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Epiphany Dermatology of Minnesota, LLC's NPI number?
- Epiphany Dermatology of Minnesota, LLC's National Provider Identifier (NPI) is 1356431191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epiphany Dermatology of Minnesota, LLC?
- Epiphany Dermatology of Minnesota, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Epiphany Dermatology of Minnesota, LLC located?
- Epiphany Dermatology of Minnesota, LLC's practice location on file with NPPES is 2718 Ekko Ave, Albert Lea, MN 56007-1800.
- What is Epiphany Dermatology of Minnesota, LLC's phone number?
- The practice phone number listed in the NPPES registry for Epiphany Dermatology of Minnesota, LLC is (507) 373-2270.
- Does Epiphany Dermatology of Minnesota, LLC accept Medicare?
- Epiphany Dermatology of Minnesota, LLC 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 Minnesota, LLC?
- The authorized official listed on Epiphany Dermatology of Minnesota, LLC's NPPES record is Gheorghe Pusta, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Epiphany Dermatology of Minnesota, LLC's NPI active?
- Yes — Epiphany Dermatology of Minnesota, LLC's NPI (1356431191) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.