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DR. SOPHIA STREETE SMALLS MD
NPI 1033298906
Family Medicine in Jamaica, NY

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
11513A MERRICK BLVD, JAMAICA, NY 11434(718) 558-8998(718) 558-8999 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sophia Streete Smalls Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOPHIA STREETE SMALLS MD (NPI 1033298906) is an individual family medicine provider in Jamaica, New York, licensed in New York (218731) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1998).

NPPES Registry Identity

NPI1033298906
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SOPHIA STREETE SMALLSCredential: MD
Location Address11513A MERRICK BLVDJamaica, NY 11434-1851
Mailing Address11513a Merrick BlvdJamaica, NY 11434-1851 · (718) 558-8998 · Fax (718) 558-8999
Phone(718) 558-8998
Fax(718) 558-8999
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 19, 2011
✔ NPI 1033298906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 218731
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11513A MERRICK BLVD, Jamaica, NY 11434
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Other Identifiers 3

Medicare PING100015967NY
Medicare UPINH38027
Medicaid02180096NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sophia Streete Smalls Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496779720
PECOS Enrollment IDI20100701000198
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Streete Smalls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sss Family Medicine PC
Same address
Primary Care
11513A MERRICK BLVD
Jamaica, NY 11434
  • Reassigned Medicare billing, New York enrollment
NPI 1588987234 (718) 558-8998

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
287 services138 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
57 services44 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%122 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers12 claims31 services$5.13 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SSS FAMILY MEDICINE PC
Clinic/Center (Primary Care)
11513A MERRICK BLVD
JAMAICA, NY 11434
Queens County (718) 558-8998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Streete Smalls's NPI number?

The NPI number for Sophia Streete Smalls is 1033298906. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Sophia Streete Smalls located?

Sophia Streete Smalls practices at 11513A Merrick Blvd, Jamaica, NY 11434. The listed phone number is (718) 558-8998.

What is Sophia Streete Smalls's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sophia Streete Smalls enrolled in Medicare?

Yes. Sophia Streete Smalls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sophia Streete Smalls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Streete Smalls reassigns Medicare benefits to Sss Family Medicine PC (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Streete Smalls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Streete Smalls was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.