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ANDRE SMALL MD
NPI 1043708969
Internal Medicine in Henderson, NV

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
1389 GALLERIA DR STE 100, HENDERSON, NV 89014(725) 333-8400(725) 333-8401 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2022, Apr 26, 2018 (2 updates tracked since 2018).

About Andre Small Md NPPES

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

ANDRE SMALL MD (NPI 1043708969) is an individual internal medicine provider in Henderson, Nevada, licensed in Nevada (21645) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043708969
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDRE SMALLCredential: MD
Location Address1389 GALLERIA DR STE 100Henderson, NV 89014-6686
Mailing Address367 S Gulph RdKing Of Prussia, PA 19406-3121 · (725) 333-8400 · Fax (725) 333-8401
Phone(725) 333-8400
Fax(725) 333-8401
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 26, 2018
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1043708969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 21645
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1389 GALLERIA DR STE 100, Henderson, NV 89014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

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

Andre Small 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 ID840682480
PECOS Enrollment IDI20220111002946
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 Andre Small reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Las Vegas Medical Group LLC
20 mi
Internal Medicine
6850 N DURANGO DR STE 208
Las Vegas, NV 89149
  • Reassigned Medicare billing, Nevada enrollment
  • 92 clinicians in this Medicare group
NPI 1447656988 (702) 835-9870

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 7

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.

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.
587 services326 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.
89 services73 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.
30 services30 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.
25 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 2

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

MRS. KRISTIE JO SCROGGIN APRN
Nurse Practitioner (Family)
1389 GALLERIA DR STE 100
HENDERSON, NV 89014
Clark County (725) 333-8400
DR. MATTHEW JACOB SHOEMAKER DO
Family Medicine
1389 GALLERIA DR STE 100
HENDERSON, NV 89014
Clark County (725) 333-8400

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 Andre Small's NPI number?

The NPI number for Andre Small is 1043708969. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Andre Small located?

Andre Small practices at 1389 Galleria Dr Ste 100, Henderson, NV 89014. The listed phone number is (725) 333-8400.

What is Andre Small's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andre Small enrolled in Medicare?

Yes. Andre Small 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 Andre Small's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Small reassigns Medicare benefits to Las Vegas Medical Group LLC (Las Vegas, NV). 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 Andre Small's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Small accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Andre Small as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andre Small was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.