Individual provider Active NPI

Ethan Alan Small, MD

  • Anesthesiology Physician
  • Rye Brook, NY
National Provider Identifier
1609902345
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
256872-1 Issued in NY
Practice address
800 Westchester Avenue, Ste S-614
Westchester Anesthesiologists, PPC
Rye Brook, NY 10573
Phone
(914) 428-5454
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 256872-1 NY Primary

Addresses

Primary practice location

800 Westchester Avenue, Ste S-614
Westchester Anesthesiologists, PPC
Rye Brook, NY 10573

Mailing address

800 Westchester Avenue, Ste S-614
Westchester Anesthesiologists, PPC
Rye Brook, NY 10573
Phone (914) 428-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120221000632 NY Practitioner - Anesthesiology 1658417720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Hawaii John a. Burns School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256872-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. CurrentSince Jan 12, 2015 Accepting new patients
The Westchester Medical Group PC CurrentSince Jan 12, 2015 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
The Rye Ambulatory Surgery Center, LLC CurrentSince Jun 27, 2012 Accepting new patients
Empire Ambulatory Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700

800 Westchester Ave
Ste N511
Rye Brook, NY 10573
Phone (914) 261-9281

800 Westchester Ave
Ste S614
Rye Brook, NY 10573

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: esmall@hiemail.healtheconnections.org
  • Direct secure messaging: ethan.small.1@21260.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1609902345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WESTCHESTER AVENUE, STE S-614",
            "address_2": "WESTCHESTER ANESTHESIOLOGISTS, PPC",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-428-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WESTCHESTER AVENUE, STE S-614",
            "address_2": "WESTCHESTER ANESTHESIOLOGISTS, PPC",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-428-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ETHAN",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "256872-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.