Individual provider Active NPI

Janice F Moranz, MD

  • Dermatology Physician
  • Albuquerque, NM
National Provider Identifier
1295821098
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
8897 Issued in NM
Practice address
5600 Eubank Blvd NE Ste 110
Albuquerque, NM 87111-1519
Phone
(505) 880-1920
Fax
(505) 880-1076
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 8897 NM Primary

Addresses

Primary practice location

5600 Eubank Blvd NE Ste 110
Albuquerque, NM 87111-1519

Mailing address

7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 759-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000459 NM Practitioner - Dermatology 0840459889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of New Mexico, LLCGroup PAC ID 4082919691, 30 clinicians

Practice addresses (Care Compare)

2240 Grande Blvd SE
Suite 106
Rio Rancho, NM 87124-1751
Phone (505) 545-6741

No 5 Calle Medico
Suite a
Santa Fe, NM 87505-4762
Phone (505) 557-6300

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions99
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8897NMMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Integrative Health Center, LLC CurrentSince May 19, 2015 Accepting new patients
Epiphany Dermatology of New Mexico, LLC Dermatology CurrentSince Jan 1, 2016 Accepting new patients

Locations

5600 Eubank Blvd NE
Ste 110
Albuquerque, NM 87111
Phone (505) 557-6300

5310 Homestead Rd NE
Bldg 400
Albuquerque, NM 87110
Phone (505) 256-3648

5512 E Main St
Ste A
Farmington, NM 87402
Phone (505) 787-2515

2240 Grande Blvd SE
Ste 106
Rio Rancho, NM 87124
Phone (505) 545-6741

5 Calle Medico
Ste A
Santa Fe, NM 87505
Phone (505) 557-6300

7300 Ranch Road 2222
Ste 200
Austin, TX 78730

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: jmoranz@epiphanyderm.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1295821098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-759-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 EUBANK BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111519",
            "telephone_number": "505-880-1920",
            "fax_number": "505-880-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANZ",
        "first_name": "JANICE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "8897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.