Olive Branch Dermatology LLC
NPI 1750197794ActiveOrganization· Dermatology· Hoover, AL
Dermatology in Hoover, Alabama, registered in NPPES in December 2024. The authorized official on file is Amena Raja Alkeswani, MD, Practice Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750197794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2024 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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