Epiphany Dermatology of New Mexico, LLC
NPI 1447615760 · Dermatology Physician · Albuquerque, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Epiphany Dermatology of New Mexico, LLC is a Dermatology Physician organization in Albuquerque, NM (NPI 1447615760).
Provider details
- NPI number
- 1447615760
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Manager(512) 628-0465
- License
- 88-97 (NM)
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
10 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
- 2015-12-31
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Frequently asked questions
- What is Epiphany Dermatology of New Mexico, LLC's NPI number?
- Epiphany Dermatology of New Mexico, LLC's National Provider Identifier (NPI) is 1447615760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epiphany Dermatology of New Mexico, LLC?
- Epiphany Dermatology of New Mexico, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Epiphany Dermatology of New Mexico, LLC located?
- Epiphany Dermatology of New Mexico, LLC's practice location on file with NPPES is 5600 Eubank Blvd Ne, Albuquerque, NM 87111-1519.
- What is Epiphany Dermatology of New Mexico, LLC's phone number?
- The practice phone number listed in the NPPES registry for Epiphany Dermatology of New Mexico, LLC is (512) 628-0465.
- Does Epiphany Dermatology of New Mexico, LLC accept Medicare?
- Epiphany Dermatology of New Mexico, 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 New Mexico, LLC?
- The authorized official listed on Epiphany Dermatology of New Mexico, LLC's NPPES record is Gheorghe Pusta, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Epiphany Dermatology of New Mexico, LLC's NPI active?
- Yes — Epiphany Dermatology of New Mexico, LLC's NPI (1447615760) 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.