Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan C Levin, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1326332123

Ethan C Levin, MD is a Dermatology in Albuquerque, New Mexico. Graduated from Washington University School of Medicine in 2011, 15 years ago. Practices with Epiphany Dermatology of New Mexico, LLC, a 30-clinician group and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
15
Trained at
Washington University School of Medicine
Licensed in
CA, NM
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5600 Eubank Blvd NE Ste 110
Albuquerque, NM 87111-1519
Phone: (314) 996-8810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD2019-0595 (NM)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A122015 (CA)

Record details

NPI number1326332123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2011
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Epiphany Dermatology Of New Mexico, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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