Active NPI
Kayla Mohr, MD
- Dermatology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E13033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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 100
- Quality
- 99.74
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.61 of 100
- Quality
- 77.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 44 |
| Removal of skin lesions | 1169 |
| Removal of skin cancer | 25 |
| Removal or shaving of skin growth | 53 |
| Skin biopsy | 259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E13033 | AR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Single Specialty | Current | Accepting new patients |
| Prime Medical Group PLLC | Single Specialty | Current | 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
- kmohr@pmg.emadirect.md
- 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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
AR, Single Specialty
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
Single Specialty
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1932872975
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.