Individual provider Active NPI

Kurt Small, MD

  • Anesthesiology Physician
  • Cortlandt Manor, NY
National Provider Identifier
1942270483
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
222878-1 Issued in NY
Practice address
1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4179
Phone
(914) 737-9000
Fax
(845) 790-2675
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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 222878-1 NY Primary

Addresses

Primary practice location

1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4179

Mailing address

2 Catharine St
P.O. Box 550
Poughkeepsie, NY 12601-3100
Phone (845) 790-2661

Other identifiers 1

IdentifierTypeStateIssuer
02547111MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200518000172 TN Practitioner - Anesthesiology 3173519543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Anesthesia Solutions IncGroup PAC ID 7315200664, 19 clinicians

Practice addresses (Care Compare)

240 Medical Park Blvd
Suite 2400
Bristol, TN 37620-7354
Phone (423) 639-0941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222878-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Solutions Inc. Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Meadowview ASC, LLC Past Accepting new patients

Locations

320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030

10425 Wallace Alley St
Kingsport, TN 37663
Phone (423) 282-9011

130 W Stone Dr
Kingsport, TN 37660

2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820

Dept 888618
Knoxville, TN 37995

Interoperability endpoints

  • Direct secure messaging: kurt.small@direct.hvhc.org

Organizations & group practices 2

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1942270483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE ST",
            "address_2": "P.O. BOX 550",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013100",
            "telephone_number": "845-790-2661",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 CROMPOND RD",
            "address_2": "HUDSON VALLEY HOSPITAL CENTER",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674179",
            "telephone_number": "914-737-9000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KURT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "222878-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02547111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.