Active NPI
Roy Frederick Small, DO
- Orthopaedic Surgery Physician
- Mount Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5151013215
- Practice address
- 1000 Harrington St
Mount Clemens, MI 48043-2920 - Phone
- (586) 493-8142
- Fax
- (586) 493-3250
- NPI assigned
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11021502A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 5151013215 | MI | Primary |
Addresses
Primary practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Mailing address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-3727
Other practice location 1
1316 E 7th St
Auburn, IN 46706-2538
Phone (260) 920-2720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825-5822
8202 Glencarin Blvd
Suite 300
Fort Wayne, IN 46804-5783
Phone (260) 484-8551
885 W Connexion Way
Suite 200
Columbia City, IN 46725-1045
Phone (260) 248-9280
Hospital & facility affiliations
- Orthopaedic Hospital at Parkview North
- Parkview Regional Medical Center
- Parkview Whitley Hospital
- Parkview Dekalb Hospital
- Parkview Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 85.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 41 |
| Knee replacement | 41 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021502A | IN | MD | Orthopaedic Surgery Physician |
| 5151013215 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics Northeast PC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics Northeast PC | Current | Accepting new patients | |
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
8202 Glencarin Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 484-1855
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
11136 Parkview Circle Dr
Fort Wayne, IN 46845
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
315 E 200 N
Warsaw, IN 46582
Phone (574) 269-8301
1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DBA ONE Anesthesia Services
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1740268796
-
dba Surgery One
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1417936477
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- Special Hospital
- Fort Wayne, IN
- NPI 1568664613
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1447746318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HARRINGTON ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-3727",
"fax_number": "586-493-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HARRINGTON ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-8142",
"fax_number": "586-493-3250"
}
],
"practiceLocations": [
{
"address_1": "1316 E 7th St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "IN",
"postal_code": "467062538",
"country_code": "US",
"telephone_number": "260-920-2720",
"fax_number": "260-920-2725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALL",
"first_name": "ROY",
"middle_name": "FREDERICK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-03",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "11021502A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5151013215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.