Individual provider Active NPI

Jeanie Sozansky Lujan, M.D.

  • Otolaryngology Physician
  • San Antonio, TX
National Provider Identifier
1962896977
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
S4875 Issued in TX
Practice address
14603 Huebner Rd Ste 101
San Antonio, TX 78230-5469
Phone
(210) 468-5426
Fax
(210) 764-5440
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 57.025955 OH
Facial Plastic Surgery Physician 207YS0123X S4875 TX
Otolaryngology Physician 207Y00000X S4875 TX Primary

Addresses

Primary practice location

14603 Huebner Rd Ste 101
San Antonio, TX 78230-5469

Mailing address

14603 Huebner Rd Ste 101
San Antonio, TX 78230-5469
Phone (210) 468-5426

Other practice location 1

1340 Wonder World Dr Ste 2300
San Marcos, TX 78666-8070
Phone (512) 353-6400

Other names 1

  • Jeanie Sozansky Former name

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
I20200929001371 TX Practitioner - Otolaryngology 7214233857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1340 Wonder World Dr
4301 Lohp Specialty Care San Marcos
San Marcos, TX 78666-7695
Phone (512) 353-6400

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of tissue1-10
Removal of skin lesions1-10
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
57.025955OHMDOtolaryngology Physician
S4875TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 11, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 11, 2024 Accepting new patients
Endormir Surgical PLLC Facial Plastic Surgery CurrentSince Sep 23, 2020 Accepting new patients
Emergenchealth PLLC Past Accepting new patients

Locations

14603 Huebner Rd
Ste 101
San Antonio, TX 78230
Phone (210) 468-5426

1340 Wonder World Dr
Ste 2300
San Marcos, TX 78666
Phone (512) 353-6400

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jsozanskylujan423147@christushealth.direct-ci.net

Organizations & group practices 4

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962896977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305469",
            "telephone_number": "210-468-5426",
            "fax_number": "210-764-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305469",
            "telephone_number": "210-468-5426",
            "fax_number": "210-764-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Wonder World Dr Ste 2300",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786668070",
            "country_code": "US",
            "telephone_number": "512-353-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOZANSKY LUJAN",
        "first_name": "JEANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "57.025955",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "S4875",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "S4875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "SOZANSKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.