Individual provider Active NPI

Joshua Hekmatjah, MD

  • Dermatology Physician
  • Little Rock, AR
National Provider Identifier
1336728344
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A202839 Issued in CA
Practice address
4301 West Markham, Slot 576
Little Rock, AR 72205
Phone
(501) 686-6194
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 A202839 CA Primary

Addresses

Primary practice location

4301 West Markham, Slot 576
Little Rock, AR 72205

Mailing address

4301 West Markham, Slot 576
Little Rock, AR 72205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251024002990 CA Practitioner - Dermatology 9133520562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Western Michigan Un Homer Stryker School of Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Institute and Skin Care Center, Inc.Group PAC ID 6901825421, 3 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 1160W
Santa Monica, CA 90404-2120
Phone (310) 829-4104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions62
Skin biopsy19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A202839CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Institute & Skin Care Center, Inc. Dermatology CurrentSince Sep 2, 2025 Accepting new patients

Locations

2001 Santa Monica Blvd
Ste 1160W
Santa Monica, CA 90404
Phone (310) 828-2042

Organizations & group practices 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1336728344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WEST MARKHAM, SLOT 576",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WEST MARKHAM, SLOT 576",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-686-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEKMATJAH",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A202839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.