KEVIN VAN SMAALEN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1669905964

KEVIN VAN SMAALEN (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 94944 (GA). The NPI Number for KEVIN VAN SMAALEN (MD) is 1669905964

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN VAN SMAALEN (MD)
NPI
1669905964
Phone
(404) 605-2054
Address
1968 PEACHTREE RD NW
Enumeration Date
4 April 2017
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4046052054
Graduation Year
2017 (9 years ago)
PAC ID
0244695187
Group Practice PAC ID
9537134788
Professional Enrollment ID
I20230428001918
Address ID
GA303091281AT1968XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

391 PATHOLOGY in GA

Provider Addresses for KEVIN VAN SMAALEN (MD)

  • 1968 PEACHTREE RD NW

    ATLANTA, GA 303091281

    Phone: (404) 605-2054

    Type: Location

  • 5135, Brunswick Drive, Cypress, Orange County, California, 90630, United States

    CYPRESS, CA 906303611

    Phone:

    Type: Mailing

  • Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303221059

    Phone: (404) 778-7777

    Type: Location

  • 536 RIMROCK TRL

    STONE MOUNTAIN, GA 300834555

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230428001918IPathologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity388203$0
88341Special stained specimen slides to examine tissue, each additional procedure23569$0
88342Special stained specimen slides to examine tissue, initial procedure11586$0
88307Pathology examination of tissue using a microscope, moderately high complexity10462$0
88112Cell examination of specimen, selective cellular enhancement technique5149$0
View full utilization report →

Insurance plans in this area (ZIP 30309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537134788View full group profile
NameSpecialtyState
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YMI
P A T H O L O G YGA
Pathology, Hematology/OncologyGA
-TN
P A T H O L O G YGA
P A T H O L O G YNV
P A T H O L O G YGA

Reviews

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Frequently asked questions

Is KEVIN VAN SMAALEN (MD) listed with a National Provider Identifier?
Yes — KEVIN VAN SMAALEN (MD) has NPI 1669905964 on file in the registry.
Is KEVIN VAN SMAALEN (MD) shown as active in public data?
Registry records indicate KEVIN VAN SMAALEN (MD) maintains an active NPI.
What area of care is associated with KEVIN VAN SMAALEN (MD)?
KEVIN VAN SMAALEN (MD)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN VAN SMAALEN (MD) located near Atlanta?
KEVIN VAN SMAALEN (MD) currently maps to Atlanta, Georgia in this extract.
Can I trust this NPI listing for KEVIN VAN SMAALEN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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