Individual provider Active NPI

Ronald D Hall, M.D.

  • Dermatology Physician
  • Pikeville, KY
National Provider Identifier
1902857980
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19685 Issued in KY
Practice address
1098 S Mayo TRL
Suite 211
Pikeville, KY 41501-1546
Phone
(606) 432-5532
Fax
(606) 432-5564
NPI assigned
May 13, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19685 KY
Dermatology Physician 207N00000X 19685 KY Primary

Addresses

Primary practice location

1098 S Mayo TRL
Suite 211
Pikeville, KY 41501-1546

Mailing address

PO Box 2500
Pikeville, KY 41502-2500
Phone (606) 432-5532

Other identifiers 7

IdentifierTypeStateIssuer
610944002007MedicaidWV
005940303MedicaidVA
0758582OtherUMWA
048726OtherVAANTHEM OF VA
64-196850MedicaidKY
610944002007OtherWVMOUNTAIN STATE BCBS
000000046151OtherKYANTHEM OF KY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040610000195 KY Practitioner - Dermatology 9537052626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology of Kentucky LLCGroup PAC ID 5496166308, 14 clinicians

Practice addresses (Care Compare)

1098 S Mayo TRL
Pikeville, KY 41501-1546
Phone (859) 276-1511

1750 Hwy 192 W
Suite 8
London, KY 40741-2640
Phone (859) 276-1511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions658
Removal or shaving of skin growth1-10
Skin biopsy207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dermatology of Kentucky LLC Specialist CurrentSince Oct 1, 2022 Accepting new patients
Kentucky Dermatology and Skin Cancer Clinic, PSC Specialist Past Accepting new patients

Locations

161 Lexington Green Cir
Ste 100
Lexington, KY 40503
Phone (859) 276-1511

169 Burt Rd
Lexington, KY 40503
Phone (859) 278-9242

177 Burt Rd
Lexington, KY 40503
Phone (859) 276-1511

1750 Highway 192 W
Ste 8
London, KY 40741
Phone (606) 878-5590

1098 S Mayo Trl
Pikeville, KY 41501
Phone (606) 432-5532

1098 S Mayo Trl
Ste 211
Pikeville, KY 41501
Phone (606) 432-5532

120 Meridian Way
Ste 3
Richmond, KY 40475
Phone (859) 276-1511

Interoperability endpoints

  • Direct secure messaging: rhall@kentuckydermatology.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1902857980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022500",
            "telephone_number": "606-432-5532",
            "fax_number": "606-432-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 S MAYO TRL",
            "address_2": "SUITE 211",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011546",
            "telephone_number": "606-432-5532",
            "fax_number": "606-432-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RONALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "19685",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "19685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610944002007",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005940303",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0758582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF VA",
            "identifier": "048726",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64-196850",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "610944002007",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF KY",
            "identifier": "000000046151",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.