Active NPI
Edward J Zabawski Jr., D.O.
- Dermatology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- K1959
- Practice address
- 1400 S Main St Ste 501
Fort Worth, TX 76104-4909 - Phone
- (817) 702-1100
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | K1959 | TX | Primary |
Addresses
Primary practice location
1400 S Main St Ste 501
Fort Worth, TX 76104-4909
Mailing address
1200 Crawford Ave Ste D
Granbury, TX 76048-4562
Phone (817) 661-1520
Other practice location 1
1200 Crawford Ave Ste D
Granbury, TX 76048-4562
Phone (817) 661-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210312000846 | TX | Practitioner - Dermatology | 8022030790 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1959 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Dermatology | Current | Accepting new patients |
| Campbell Dermatology PA | Dermatology | Current | Accepting new patients |
| Bare Derm Group Inc | Dermatology | Current | Accepting new patients |
| Derm Texas LLC | Dermatology | Current | Accepting new patients |
| Diagnostic Clinic of Longview PA | Past | Accepting new patients |
Locations
1 Commons Dr
Ste 16
Londonderry, NH 03053
Phone (603) 965-3551
1C Commons Dr
Unit 16
Londonderry, NH 03053
Phone (603) 818-8374
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
2110 Research Row
Ste 310
Dallas, TX 75235
Phone (972) 797-9297
1008 NE Big Bend Trl
Ste 400
Glen Rose, TX 76043
Phone (817) 661-1520
2800 Village Rd
Ste 112
Granbury, TX 76049
Phone (254) 897-1434
1200 Crawford Ave
Ste D
Granbury, TX 76048
Phone (817) 573-5996
27045 E University Dr
Ste 1A
Little Elm, TX 76227
Phone (972) 213-6210
1005 W Ralph Hall Pkwy
Ste 207
Rockwall, TX 75032
Phone (972) 483-9228
912 Foster Ln
Ste 200
Weatherford, TX 76086
Phone (817) 489-6789
Interoperability endpoints
- edward.zabawski@epiphanyderm.emadirect.md
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Ohio University, College of Osteopathic Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bare Derm Group Inc
Practice addresses (Care Compare)
2110 Research Row
Suite 310
Dallas, TX 75235-2534
Phone (972) 797-9297
Hospital & facility affiliations
- Glen Rose Medical Center
- Lake Granbury Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 76.91
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 77.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 33 |
| Removal of skin lesions | 426 |
| Removal or shaving of skin growth | 21 |
| Skin biopsy | 141 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1386614733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CRAWFORD AVE STE D",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760484562",
"telephone_number": "817-661-1520",
"fax_number": "888-323-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S MAIN ST STE 501",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044909",
"telephone_number": "817-702-1100"
}
],
"practiceLocations": [
{
"address_1": "1200 Crawford Ave Ste D",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760484562",
"country_code": "US",
"telephone_number": "817-661-1520",
"fax_number": "888-323-0020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZABAWSKI",
"first_name": "EDWARD",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "K1959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.