ADAM SMALL MD
NPI 1275827420
Internal Medicine - Adult Congenital Heart Disease in New York, NY
About Adam Small Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM SMALL MD (NPI 1275827420) is an individual adult congenital heart disease provider in New York, New York, licensed in New York (303556) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Accepted 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
Adam 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.
Medicare Billing Reassignments
2Medicare enrollment records show Adam Small reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYMedicare 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Adam Small's NPI number?
The NPI number for Adam Small is 1275827420. It was assigned to this individual provider in the NPPES registry on June 6, 2011.
Where is Adam Small located?
Adam Small practices at 530 1st Ave # 9N, New York, NY 10016. The listed phone number is (646) 501-0647.
What is Adam Small's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.
Is Adam Small enrolled in Medicare?
Yes. Adam 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 organizations bill Medicare for Adam Small's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Small reassigns Medicare benefits to 2 organizations: Practice Associates Medical Group (Morristown, NJ) and New York University (Boynton Beach, FL). Each 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 Adam Small's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Small accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Adam 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.
Is Adam Small affiliated with any hospitals?
According to CMS data, Adam Small is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Adam Small was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Adam Small, MD · NPI 1275827420
Adult Congenital Heart Disease physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 6, 2011.
## Identity
- **NPI:** 1275827420 (Entity type: Individual)
- **Enumerated:** June 6, 2011
- **Primary specialty:** Internal Medicine - Adult Congenital Heart Disease · taxonomy 207RA0002X
- **State license:** 303556 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 1ST AVE # 9N, New York, NY 10016-6402
- **Phone:** (646) 501-0647 · **Fax:** (212) 263-7908
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Practice Associates Medical Group (NPI 1427016385, Morristown, NJ); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1275827420) · Data from the CMS NPPES public registry.