Individual provider Active NPI

Amena Raja Alkeswani, M.D.

  • Dermatology Physician
  • Hoover, AL
National Provider Identifier
1962023556
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
49331 Issued in AL
Practice address
4721 Chace Cir
Hoover, AL 35244-3700
Phone
(205) 266-9011
NPI assigned
May 5, 2020
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 49331 AL Primary

Addresses

Primary practice location

4721 Chace Cir
Hoover, AL 35244-3700

Mailing address

PO Box 36263
Birmingham, AL 35236-6263
Phone (727) 504-5883

Other practice location 1

500 Towncenter Blvd Ste C
Tuscaloosa, AL 35406-1847
Phone (205) 266-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250131000828 AL Practitioner - Dermatology 8224469945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Alabama School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4721 Chace Cir
Hoover, AL 35244-3700
Phone (205) 266-9011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions120
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49331ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Branch Dermatology LLC Dermatology CurrentSince Dec 1, 2024 Accepting new patients
Alabama Vein Specialists Group LLC CurrentSince Dec 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1962023556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36263",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352366263",
            "telephone_number": "727-504-5883",
            "fax_number": "903-200-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-266-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Towncenter Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354061847",
            "country_code": "US",
            "telephone_number": "205-266-9011",
            "fax_number": "903-200-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKESWANI",
        "first_name": "AMENA",
        "middle_name": "RAJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "49331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.