Individual provider Active NPI

Edward J Zabawski Jr., D.O.

  • Dermatology Physician
  • Fort Worth, TX
National Provider Identifier
1386614733
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K1959 Issued in TX
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

Updated by the provider on Apr 6, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
K1959TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Aug 31, 2023 Accepting new patients
Campbell Dermatology PA Dermatology CurrentSince Oct 1, 2020 Accepting new patients
Bare Derm Group Inc Dermatology CurrentSince Jul 12, 2024 Accepting new patients
Derm Texas LLC Dermatology CurrentSince Jul 12, 2024 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

  • Direct secure messaging: edward.zabawski@epiphanyderm.emadirect.md
  • FHIR API: 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.

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 16 clinicians

Practice addresses (Care Compare)

2110 Research Row
Suite 310
Dallas, TX 75235-2534
Phone (972) 797-9297

Hospital & facility affiliations

  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions426
Removal or shaving of skin growth21
Skin biopsy141

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

Verify at the official NPI Registry.