Individual provider Active NPI

Roy Frederick Small, DO

  • Orthopaedic Surgery Physician
  • Mount Clemens, MI
National Provider Identifier
1447746318
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5151013215 Issued in MI
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

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606000459 IN Practitioner - Orthopedic Surgery 8022367069 Reassigns benefits to 1 organization

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
Orthopaedics Northeast PCGroup PAC ID 9234024878, 80 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
85.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement41
Knee replacement41
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11021502AINMDOrthopaedic Surgery Physician
5151013215MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Northeast PC Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Orthopaedics Northeast PC CurrentSince Jul 1, 2024 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.