Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin M Small, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1689669715

Kevin M Small, MD is a Diagnostic Radiology in South Bend, Indiana. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1993, 33 years ago. Practices with Radiology Inc, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
33
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 Memorial Dr Ste 312
South Bend, IN 46601-1073
Phone: (574) 647-5200
Fax: (574) 647-5210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 W Edison Rd, Mishawaka, IN 46545-2784 — (574) 258-1100

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 01044597A (IN)

Record details

NPI number1689669715
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1993 (33 years in practice)
Group practice Radiology Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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