Active NPI
Ethan Alan Small, MD
- Anesthesiology Physician
- Rye Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 256872-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256872-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Group, P.C. | Current | Accepting new patients | |
| The Westchester Medical Group PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| The Rye Ambulatory Surgery Center, LLC | Current | 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
- esmall@hiemail.healtheconnections.org
- 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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
-
- Ambulatory Surgical Clinic/Center
- Rye, NY
- NPI 1578892600
-
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
-
- Anesthesiology Physician
- Rye Brook, NY
- NPI 1225267354
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.