Kevin Howard Small, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

266256 Issued in NY

Practice address

125 Mineola Ave
Ste 200
Roslyn Heights, NY 11577-2042

Phone

(516) 616-5500

Fax

(888) 502-6582

NPI assigned

Jun 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery

Education

New York University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nybg.kevinsmall@136202.advancedmd-direct.com
• Direct secure messaging: ksmall68138@northwell.direct-ci.com

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.

• New York Bariatric Surgery Group PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1164898821

  CT, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Long Island Minimally Invasive Surgery, P.C.

  • Specialist
  • Roslyn Heights, NY
  • NPI 1356545867

  Multi-Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  • Psychiatric Hospital Unit
  • Rockville Centre, NY
  • NPI 1427017854
  Care Compare affiliation
• Mercy Medical Center

  • Rehabilitation Hospital Unit
  • Rockville Centre, NY
  • NPI 1598724924
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Rockville Centre, NY
  • NPI 1659330173
  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1043470834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE",
            "address_2": "STE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772042",
            "telephone_number": "314-477-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE",
            "address_2": "STE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772042",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KEVIN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-15",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "266256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "266256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Singh, NP
• Vijay Singh, M.D.
• Pinar Siper
• Sari Beth Skolnik, LCSW, PHD
• Sleep Better, Live Better Inc.
• Elissa Joy Smilowitz, L.C.S.W.
• Marsha Smith
• Samantha Rachel Sohmer, LCSW
• Rita Solomon
• Bernard Sorscher

• Plastic Surgery Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.

Verify at the official NPI Registry.