KEVIN M SMALL MD NPI 1689669715

NPI Information

  • NPI: 1689669715
  • Provider Name: KEVIN M SMALL, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 621 MEMORIAL DR STE 312
    SOUTH BEND, IN
    ZIP 46601
  • Phone: (574) 647-5200

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NPI Details

Kevin M Small, MD is a vascular and interventional radiology radiology in South Bend, IN with 33 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Kevin M Small, MD NPI is 1689669715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1993

The provider's business location address is:

621 MEMORIAL DR STE 312
SOUTH BEND, IN
ZIP 46601-073
Phone: (574) 647-5200
Fax: (574) 647-5210

The NPI 1689669715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance (HCPCS:32557)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)

The enumeration date for this NPI number is 9/14/2005 and was last updated on 4/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology01044597AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200181930MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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