OLIVE BRANCH DERMATOLOGY LLC
NPI 1750197794
Dermatology in Hoover, AL

NPI Status: Active since December 04, 2024

Contact Information

4721 CHACE CIR
HOOVER, AL
ZIP 35244
Phone: (205) 266-9011

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  • Organization
  • Dermatology
  • CLIA Number: 01D2324954
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-03-2027

About OLIVE BRANCH DERMATOLOGY LLC

This page provides the complete NPI Profile along with additional information for Olive Branch Dermatology Llc, a provider established in Hoover, Alabama operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1750197794 assigned on December 2024. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Amena Raja Alkeswani Md (Practice Owner)

NPI
1750197794
Provider Name
OLIVE BRANCH DERMATOLOGY LLC
Entity Type
Organization
Location Address
4721 CHACE CIR HOOVER, AL 35244
Location Phone
(205) 266-9011
Mailing Address
PO BOX 36263 BIRMINGHAM, AL 35236
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2024
Last Update Date
01-30-2025
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A dermatologist like Olive Branch Dermatology Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AMENA RAJA ALKESWANI MD

Authorized Official Title
PRACTICE OWNER
Authorized Official Phone
(727) 504-5883

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2324954
Facility Type
Physician Office
Certificate Effective Date
June 04, 2025
Certificate Expiration Date
June 03, 2027
Laboratory Director
AMENA ALKESWANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Olive Branch Dermatology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750197794, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 2 + 9 + 1 + 4 + 7 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1750197794.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
4721 CHACE CIR
HOOVER, AL 35244
Physician Assistant (Surgical)
4721 CHACE CIR
HOOVER, AL 35244
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4721 CHACE CIR
HOOVER, AL 35244
Nurse Anesthetist, Certified Registered
4721 CHACE CIR
HOOVER, AL 35244
Physician Assistant (Medical)
4721 CHACE CIR
HOOVER, AL 35244
Physician Assistant
4721 CHACE CIR
HOOVER, AL 35244
Dermatology
4721 CHACE CIR
HOOVER, AL 35244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750197794, enumerated as an "organization" on December 04, 2024.

The provider is located at 4721 CHACE CIR HOOVER, AL 35244 and the phone number is (205) 266-9011.

Dermatology with taxonomy code 207N00000X.