Brett A Ozanich, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

Q6972 Issued in TX

Practice address

310 S Mesa Hills Dr
El Paso, TX 79912-5880

Phone

(915) 351-7546

Fax

(915) 351-3545

NPI assigned

Jun 16, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Epiphany Dermatology of New Mexico, LLCGroup PAC ID 4082919691, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

76.91

Promoting interoperability

91

Improvement activities

40

Cost

77.16

Merit-based Incentive Payment System (MIPS)

Final score

90.02 of 100Reported as group

Quality

84.61

Promoting interoperability

100

Improvement activities

40

Cost

82.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brett.ozanich.1@18124.direct.athenahealth.com
• Direct secure messaging: brett.ozanich@epiphanyderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of New Mexico, LLC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1447615760
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1164743928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH RD. 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MESA HILLS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125880",
            "telephone_number": "915-351-7546",
            "fax_number": "915-351-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Paseo Del Pueblo Sur Ste D",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875715958",
            "country_code": "US",
            "telephone_number": "575-613-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZANICH",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "02003977A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q6972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mark Owen, RPH
• Laura Owens
• Leon E Owens Sr., R.PH.
• Oxygen Healthcare Inc
• Oxygen Hospice Inc
• Linda Ozuna, FNP
• P & N Ventures, LLC (Fastest Labs of El Paso)
• P3 Physical Therapy, Inc
• Pablo Ayub MD PA
• Pablo Casares MD PA (Best Physician Group)

• Dermatology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.