SHANNON F.R. SMALL MD
NPI 1932360161
Surgery - Surgical Critical Care in New London, CT
About Shannon F.r. Small Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON F.R. SMALL MD (NPI 1932360161) is an individual surgical critical care provider in New London, Connecticut, licensed in Connecticut (79645) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
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
Shannon F.r. 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
4Medicare enrollment records show Shannon Small reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Haven, CT 06511
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Richmond, VA 23226
- Reassigned Medicare billing, Virginia enrollment
- 134 clinicians in this Medicare group
Richmond, VA 23225
- Reassigned Medicare billing, Virginia enrollment
- 81 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 5
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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW LONDON, CT 06320
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 Shannon Small's NPI number?
The NPI number for Shannon Small is 1932360161. It was assigned to this individual provider in the NPPES registry on June 20, 2008.
Where is Shannon Small located?
Shannon Small practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 443-3147.
What is Shannon Small's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Shannon Small enrolled in Medicare?
Yes. Shannon 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 Shannon Small's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Small reassigns Medicare benefits to 4 organizations: Yale University (New Haven, CT), North Shore-Lij Medical PC (Great Neck, NY), Sound Physicians Intensivists Of Virginia LLC (Richmond, VA) and Urgent Specialty Associates PLLC (Richmond, VA). 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 Shannon Small's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Small accept?
Health plans from Anthem Blue Cross and Blue Shield list Shannon 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 Shannon Small was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Shannon F.r. Small, MD · NPI 1932360161
Surgical Critical Care physician in New London, Connecticut. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1932360161 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 79645 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 MONTAUK AVE, New London, CT 06320-4700
- **Phone:** (860) 443-3147 · **Fax:** (860) 865-2395
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Yale University (NPI 1205822236, New Haven, CT); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Sound Physicians Intensivists Of Virginia LLC (NPI 1619520806, Richmond, VA); Urgent Specialty Associates PLLC (NPI 1487164604, Richmond, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** November 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932360161) · Data from the CMS NPPES public registry.