Individual provider Active NPI

Karen W Small, M.D.

  • Ophthalmology Physician
  • Rockingham, VA
National Provider Identifier
1992061303
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101264198 Issued in VA
Practice address
1690 A Spring Port Drive
Rockingham, VA 22801
Phone
(404) 332-4855
Fax
(540) 433-2010
NPI assigned
Apr 10, 2012
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 266401 MA
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 0101264198 VA Primary

Addresses

Primary practice location

1690 A Spring Port Drive
Rockingham, VA 22801

Mailing address

1690 A Spring Port Drive
Rockingham, VA 22801
Phone (404) 332-4855

Other practice location 1

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 813-2528

Other practice location 2

1440 Main St Ste 201
Waltham, MA 02451-1640
Phone (781) 891-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230221000435 VA Practitioner - Ophthalmology 5799080628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham Eye Physicians & Associates, P.C. Single Specialty CurrentSince Oct 31, 2022 Accepting new patients

Locations

1690 Spring Port Dr
#A
Rockingham, VA 22801
Phone (404) 332-4855

1690A Spring Port Dr
Rockingham, VA 22801
Phone (540) 433-2485

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1992061303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 A SPRING PORT DRIVE",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "22801",
            "telephone_number": "404-332-4855",
            "fax_number": "540-433-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 A SPRING PORT DRIVE",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "22801",
            "telephone_number": "404-332-4855",
            "fax_number": "540-433-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-813-2528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511640",
            "country_code": "US",
            "telephone_number": "781-891-6377",
            "fax_number": "781-647-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KAREN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "266401",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101264198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.