Kevin M. Small, MD
Vascular & Interventional Radiology Physician · South Bend, IN
Kevin M. Small, MD is a vascular & interventional radiology physician with a practice address in South Bend, Indiana, and NPI 1689669715, issued on Sep 14, 2005. Check the license (Indiana 01044597A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Kevin M. Small
- Credential
- MD
- Primary taxonomy
- Vascular & Interventional Radiology Physician 2085R0204X
- License number
- 01044597A IN
Self-reported in NPPES; status is on the state search - Practice location
- 621 Memorial Dr Ste 312, South Bend, IN 46601
- Phone
- (574) 647-5200
- Enumerated
- Sep 14, 2005
- Record last updated
- Apr 5, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (574) 647-5210
- Medicaid ID
- 200181930 IN
- Medicare enrollment
- Enrolled (PECOS I20040209000938); accepts Medicare assignment
- Medical or professional school
- University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 1993
- Entity
- Type 1 · individual
8 nearest vascular & interventional radiology physician records → All 78 in Indiana → Look up another NPI →
Also registered at 621 Memorial Dr Ste 312
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stacy Mc Dowell, CNSClinical Nurse Specialist1376845073
Verify Kevin M. Small in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01044597ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Radiology IncSouth Bend, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin M. Small among 78 vascular & interventional radiology physician records in Indiana
Kevin M. Small, MD is one of 78 vascular & interventional radiology physician records with a practice address in Indiana. 96% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 88% newer
- In a Medicare fileYes · 96% of these records are
- In the CMS Doctors and Clinicians fileYes · 90% of these records are
- Graduated1993 · median 2004 among the 70 with a school on file
- Record last updated2021 · 26% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0204X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Vascular & Interventional Radiology Physician providers in Indiana
There are 78 vascular & interventional radiology physician records in Indiana.
All 78 in Indiana → Every provider in South Bend → Vascular & Interventional Radiology Physician nationwide →
The 8 vascular & interventional radiology physician records with the nearest ZIP codes
- Gerard Duprat, MDSouth Bend, IN 466011780679225
- Thomas Fischbach, MDSouth Bend, IN 466011780679233
- Michael Hall, M.D.South Bend, IN 466011093893026
- Peter Miller, M.D.South Bend, IN 466011295991081
- Kelly Mortell, M.D.South Bend, IN 466011841434354
- Brian Schirf, M.D.South Bend, IN 466011184840290
- Howard Wiarda, MDSouth Bend, IN 466011801881255
- Mohammad Ali, M.D.Mishawaka, IN 465451679759898
Common questions
What is Kevin M. Small, MD's NPI number?
Kevin M. Small, MD's National Provider Identifier (NPI) is 1689669715, issued on Sep 14, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kevin M. Small, MD located?
The NPPES record lists a practice address at 621 Memorial Dr Ste 312, South Bend, IN, 46601. Phone: (574) 647-5200. Providers update this record themselves, so call before visiting.
How can I verify Kevin M. Small, MD's license?
NPPES lists Indiana license number 01044597A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.