Individual provider Active NPI

Mehreen Sheikh Hall, DO

  • Dermatology Physician
  • Hopkinsville, KY
National Provider Identifier
1699136341
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
05299 Issued in KY
Practice address
10755 Eagle Way Ste 202
Hopkinsville, KY 42240-8742
Phone
(270) 887-5640
Fax
(270) 886-5371
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 05299 KY Primary

Addresses

Primary practice location

10755 Eagle Way Ste 202
Hopkinsville, KY 42240-8742

Mailing address

PO Box 2400
Hopkinsville, KY 42241-2400
Phone (270) 887-6843

Other identifiers 2

IdentifierTypeStateIssuer
7100839050MedicaidKY
14659132OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251223001578 NC Practitioner - Dermatology 6103243522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Surgery PAGroup PAC ID 9830115997, 14 clinicians

Practice addresses (Care Compare)

16 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 274-4880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology and Skin Surgery, PA Dermatology CurrentSince Aug 22, 2025 Accepting new patients
Allegheny Clinic Current Accepting new patients
Grace Elizabeth Brown, MD PA Past Accepting new patients

Locations

16 Medical Park Dr
Asheville, NC 28803
Phone (828) 254-0160

12 Medical Park Dr
Asheville, NC 28803
Phone (828) 274-4880

Organizations & group practices 3

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1699136341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422412400",
            "telephone_number": "270-887-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 EAGLE WAY STE 202",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408742",
            "telephone_number": "270-887-5640",
            "fax_number": "270-886-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MEHREEN",
        "middle_name": "SHEIKH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "05299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100839050",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14659132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.