DR. EZANA M AZENE (MD, PHD) – Diagnostic Radiology Physician, NPI 1073715975

DR. EZANA M AZENE (MD, PHD) is a healthcare provider. based in La crosse, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD, PHD. They hold a License No. 60390 (WI). The NPI Number for DR. EZANA M AZENE (MD, PHD) is 1073715975

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. EZANA M AZENE (MD, PHD)
NPI
1073715975
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
3 June 2007
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6087758200
Graduation Year
2007 (19 years ago)
PAC ID
3476708322
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20130823001105
Address ID
WI546015429LA2575XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,101 DIAGNOSTIC RADIOLOGY in WI

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Provider Addresses for DR. EZANA M AZENE (MD, PHD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $817.

Total Amount is formed as General ($817) + Research ($0) + Ownership ($0) = $817.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($294).

Total Amount

$817

General + Research + Ownership

Payments

11

Total payment records

General Amount

$817

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (984 days ago).

Enrollment records

3

Earliest due date

2023-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130823001105IDiagnostic RadiologyWI2023-09-30
I20131007001550IInterventional RadiologyIATBD
I20131230000704IInterventional RadiologyMNTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6556$0
49083Drainage of fluid from abdominal cavity using imaging guidance5826$0
76937Ultrasonic guidance for blood vessel access5649$0
77001Fluoroscopic guidance for insertion or removal of central vein access device3632$0
76942Ultrasonic guidance for needle placement3534$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Provider's Procedures

DR. EZANA M AZENE (MD, PHD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle5553
DIAGNOSTIC RADIOLOGYWI93922Ultrasound study of arteries of both arms and legs10084
DIAGNOSTIC RADIOLOGYWI93926Ultrasound study of arteries and arterial grafts of one leg or limited1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

What is the registry number for DR. EZANA M AZENE (MD, PHD)?
The registry entry for DR. EZANA M AZENE (MD, PHD) shows NPI 1073715975.
Does the public listing show DR. EZANA M AZENE (MD, PHD) as active?
DR. EZANA M AZENE (MD, PHD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. EZANA M AZENE (MD, PHD)'s specialty?
The extract shows Diagnostic Radiology Physician for DR. EZANA M AZENE (MD, PHD). Clinical services aligned with this taxonomy classification.
Is DR. EZANA M AZENE (MD, PHD) tied to La Crosse, Wisconsin?
If you are local to La Crosse, Wisconsin, DR. EZANA M AZENE (MD, PHD) may be relevant to your search.
Why is information missing for DR. EZANA M AZENE (MD, PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.