Individual provider Active NPI

Sino Mehrmal

  • MOHS-Micrographic Surgery Physician
  • Fresno, CA
National Provider Identifier
1063040145
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2024033479 Issued in MO
Practice address
6181 N Thesta St Ste 104
Fresno, CA 93710-8604
Phone
(559) 825-0300
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 2024033479 MO Primary
Dermatology Physician 207N00000X 2024033479 MO

Addresses

Primary practice location

6181 N Thesta St Ste 104
Fresno, CA 93710-8604

Mailing address

1842 Buenaventura Blvd
Redding, CA 96001-3700
Phone (530) 986-9160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240708003716 TX Practitioner - Dermatology 4880137256 Reassigns benefits to 1 organization
I20250415002543 MO Practitioner - Dermatology 4880137256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Toledo College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Missouri LLCGroup PAC ID 1153689294, 21 clinicians

Practice addresses (Care Compare)

2325 Dougherty Ferry Rd
Suite 201
Saint Louis, MO 63122-3356
Phone (314) 993-1714

8888 Ladue Rd
Suite 120
Saint Louis, MO 63124-2056
Phone (314) 344-0004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of tissue1-10
Removal of skin lesions167
Removal of skin cancer184
Skin biopsy135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2024033479MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R Todd Plott MD PA Dermatology CurrentSince Oct 30, 2011 Accepting new patients
Alliance Health and Dermatology, LLC Dermatology CurrentSince Apr 1, 2025 Accepting new patients
Epiphany Dermatology of Missouri, LLC Dermatology CurrentSince Mar 2, 2025 Accepting new patients
Epiphany Dermatology PA Dermatology CurrentSince Jun 15, 2024 Accepting new patients
Dermatology Associates, Inc. Dermatology PastSince Dec 31, 1991 Accepting new patients
Associates in Dermatology and Cutaneous Surgery LTD Dermatology PastSince Jan 1, 1991 Accepting new patients

Locations

222 S Woods Mill Rd
Ste 710N
Chesterfield, MO 63017
Phone (314) 576-1411

304 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9933

2325 Dougherty Ferry Rd
#201
Saint Louis, MO 63122
Phone (314) 993-1714

2325 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 993-1714

8888 Ladue Rd
Ste 120
Saint Louis, MO 63124
Phone (314) 344-0004

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

215 S Denton Tap Rd
Ste 170
Coppell, TX 75019
Phone (469) 293-2067

12469 Timberland Blvd
Ste 501
Fort Worth, TX 76244
Phone (817) 431-6555

Interoperability endpoints

  • Direct secure messaging: sino.mehrmal@epiphanyderm.emadirect.md
  • Direct secure messaging: smehrmal329149@direct-ehr-ssmhc.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1063040145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BUENAVENTURA BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-986-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6181 N THESTA ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108604",
            "telephone_number": "559-825-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRMAL",
        "first_name": "SINO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2024033479",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2024033479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.