KEVIN M SMALL MD
NPI 1689669715
Radiology - Vascular & Interventional Radiology in South Bend, IN

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
621 MEMORIAL DR STE 312, SOUTH BEND, IN 46601(574) 647-5200(574) 647-5210 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Dec 6, 2017 (2 updates tracked since 2017).

About Kevin M Small Md NPPES

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

KEVIN M SMALL MD (NPI 1689669715) is an individual vascular & interventional radiology provider in South Bend, Indiana, licensed in Indiana (01044597A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1689669715
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameKEVIN M SMALLCredential: MD
Location Address621 MEMORIAL DR STE 312South Bend, IN 46601-1073
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Fax(574) 647-5210
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateSeptember 14, 2005
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
NPI 1689669715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in IN · 01044597A
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
621 MEMORIAL DR STE 312, South Bend, IN 46601

Secondary Practice Location 1

Location 1620 W Edison Rd, Suite 110Mishawaka, IN 46545-2784 · Phone (574) 258-1100 ext. 239 · Fax (574) 258-1101

Other Identifiers 1

Medicaid200181930IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin M 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 ID3072406537
PECOS Enrollment IDI20040209000938
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.

Areas of Expertise CMS Part B claims 32

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
209 services200 patients
Ct scan of blood vessels of abdomen and pelvis with contrast 74174
A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.
165 services160 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
147 services144 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
132 services123 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
127 services127 patients
Ct scan of abdominal aorta and both leg arteries with contrast 75635
A CT scan of the abdominal aorta and both leg arteries with contrast is a medical imaging procedure. A special dye is injected to make your blood vessels visible on the scan. This helps to check for any blockages or abnormalities in these areas.
120 services119 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Clinical Nurse Specialist
621 MEMORIAL DR STE 312
SOUTH BEND, IN 46601
Radiology (Vascular & Interventional Radiology)
621 MEMORIAL DR STE 312
SOUTH BEND, IN 46601

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 Kevin Small's NPI number?

The NPI number for Kevin Small is 1689669715. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Kevin Small located?

Kevin Small practices at 621 Memorial Dr Ste 312, South Bend, IN 46601. The listed phone number is (574) 647-5200.

What is Kevin Small's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kevin Small enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Small accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kevin 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 Kevin Small affiliated with any hospitals?

According to CMS data, Kevin Small is affiliated with Elkhart General Hospital, Memorial Hospital Of South Bend and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Kevin Small was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.