Individual provider Active NPI

Kayla Mohr, MD

  • Dermatology Physician
  • Little Rock, AR
National Provider Identifier
1992159156
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E13033 Issued in AR
Practice address
16115 Saint Vincent Way
Little Rock, AR 72223-3000
Phone
(501) 817-3923
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X E13033 AR Primary
Dermatology Physician 207N00000X E-13033 AR

Addresses

Primary practice location

16115 Saint Vincent Way
Little Rock, AR 72223-3000

Mailing address

16115 Saint Vincent Way
Little Rock, AR 72223-3000

Other practice location 1

449 Jack Stephens Dr Fl 6
Little Rock, AR 72205
Phone (501) 686-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200504001668 AR Practitioner - Dermatology 2264725977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

16115 St Vincent Way
Suite 300 Pinnacle Dermatology
Little Rock, AR 72223-3000
Phone (501) 817-3923

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as individual
Quality
99.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.61 of 100Reported as apm
Quality
77.33
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions1169
Removal of skin cancer25
Removal or shaving of skin growth53
Skin biopsy259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E13033ARMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Single Specialty CurrentSince Sep 19, 2024 Accepting new patients
University of Arkansas for Medical Sciences Single Specialty CurrentSince Sep 19, 2024 Accepting new patients
Prime Medical Group PLLC Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
University of Arkansas for Medical Sciences Single Specialty Current Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

16115 Saint Vincent Way
Ste 300
Little Rock, AR 72223
Phone (501) 420-3376

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#576
Little Rock, AR 72205
Phone (501) 526-6994

9601 Baptist Health Dr
Ste 690
Little Rock, AR 72205
Phone (501) 227-8422

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1416 W 43rd Ave
Pine Bluff, AR 71603
Phone (501) 776-3800

220 N Sidney Ave
Russellville, AR 72801
Phone (479) 498-0858

651 Heritage Dr
Sheridan, AR 72150
Phone (870) 942-1301

Interoperability endpoints

  • Direct secure messaging: kmohr@pmg.emadirect.md
  • Direct secure messaging: kayla.mohr.1@31808.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1992159156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233000",
            "telephone_number": "501-817-3923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Jack Stephens Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-686-5960",
            "fax_number": "501-296-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHR",
        "first_name": "KAYLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E13033",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-13033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.