Individual provider Active NPI

Thomas James Small, MD

  • Emergency Medicine Physician
  • Franklin, IN
National Provider Identifier
1720083082
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01025451A Issued in IN
Practice address
1101 W Jefferson St
Ste H
Franklin, IN 46131-2184
Phone
(317) 736-9655
Fax
(317) 738-0922
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 0102451A IN
Emergency Medicine Physician 207P00000X 01025451A IN Primary
Specialist 174400000X 25451 IN

Addresses

Primary practice location

1101 W Jefferson St
Ste H
Franklin, IN 46131-2184

Mailing address

1101 W Jefferson St
Ste H
Franklin, IN 46131-2184
Phone (317) 736-9655

Other identifiers 1

IdentifierTypeStateIssuer
100154600AMedicaidIN

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
I20081203000408 IN Practitioner - Emergency MedicinePractitioner - General Surgery 9638103807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Indiana University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

1200 S Tillotson Opas
Suite 4
Muncie, IN 47304-4846
Phone (800) 683-8313

2508 Western Ave D
Recover Together Inc
Connersville, IN 47331-1800
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25451INMDSpecialist
0102451AINMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Johnson Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients
Advanced Healthcare Associates LLP Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: thomas.small@202362935902212.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1720083082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W JEFFERSON ST",
            "address_2": "STE H",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312184",
            "telephone_number": "317-736-9655",
            "fax_number": "317-738-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W JEFFERSON ST",
            "address_2": "STE H",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312184",
            "telephone_number": "317-736-9655",
            "fax_number": "317-738-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "0102451A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01025451A",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "25451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.