PRODIGY OFFICE ANESTHESIA, LLC
NPI 1639950140
Nurse Anesthetist, Certified Registered in Corbin, KY
About Prodigy Office Anesthesia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRODIGY OFFICE ANESTHESIA, LLC (NPI 1639950140) is a healthcare organization registered as a nurse anesthetist, certified registered in Corbin, Kentucky and active in the NPI registry since October 2023. The organization lists Benjamin T. Small, Organizer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prodigy Office Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Prodigy Office Anesthesia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
London, KY 40741
Lexington, KY 40504
Columbia, SC 29203
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prodigy Office Anesthesia, LLC's NPI number?
The NPI number for Prodigy Office Anesthesia, LLC is 1639950140. It was assigned to this organization in the NPPES registry on October 10, 2023.
Where is Prodigy Office Anesthesia, LLC located?
Prodigy Office Anesthesia, LLC is located at 1710 Cumberland Falls Hwy, Corbin, KY 40701. The listed phone number is (606) 528-6700.
What is Prodigy Office Anesthesia, LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Prodigy Office Anesthesia, LLC enrolled in Medicare?
Yes. Prodigy Office Anesthesia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prodigy Office Anesthesia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Prodigy Office Anesthesia, LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (11) and Nurse Practitioner (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prodigy Office Anesthesia, LLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Prodigy Office Anesthesia, Llc · NPI 1639950140
Nurse Anesthetist, Certified Registered organization in Corbin, Kentucky. Organization record, active in the CMS NPPES registry since October 10, 2023.
## Identity
- **NPI:** 1639950140 (Entity type: Organization)
- **Enumerated:** October 10, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Benjamin Small, ORGANIZER
## Practice location
- **Address:** 1710 CUMBERLAND FALLS HWY, Corbin, KY 40701-2727
- **Phone:** (606) 528-6700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (11), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639950140) · Data from the CMS NPPES public registry.