CHRISTINA JULIA SMALL-TOM (MD) – Internal Medicine Physician, NPI 1285195271

CHRISTINA JULIA SMALL-TOM (MD) is a healthcare provider. based in Maywood, Illinois. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 75985 (WI). The NPI Number for CHRISTINA JULIA SMALL-TOM (MD) is 1285195271

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA JULIA SMALL-TOM (MD)
NPI
1285195271
Phone
Not provided
Address
2160 S 1ST AVE
Enumeration Date
31 March 2019
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
2623346165
Graduation Year
2019 (7 years ago)
PAC ID
9931436672
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20240821004638
Address ID
WI530959274WE3212XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

312 RADIATION ONCOLOGY in IL

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Provider Addresses for CHRISTINA JULIA SMALL-TOM (MD)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601533328

    Phone:

    Type: Location

  • 9200 W WISCONSIN AVE

    MILWAUKEE, WI 532263522

    Phone: (414) 805-4400

    Fax: (414) 805-4369

    Type: Mailing

  • 8701, West Watertown Plank Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263548

    Phone:

    Type: Mailing

  • 7901 S 6th St

    Oak Creek, WI 531542010

    Phone: (414) 346-8000

    Fax: (414) 346-8010

    Type: Location

  • 3200 Pleasant Valley Rd

    West Bend, WI 530959274

    Phone: (262) 334-5533

    Fax: (262) 836-7301

    Type: Location

  • W180N8085 Town Hall Rd

    Menomonee Falls, WI 530513518

    Phone: (262) 257-5151

    Fax: (262) 253-7801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2024-07-21 • Largest payer in this snapshot: RefleXion Medical, Inc. ($287).

Total Amount

$525

General + Research + Ownership

Payments

4

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-21

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
I20240821004638IRadiation OncologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

What is CHRISTINA JULIA SMALL-TOM (MD)'s NPI number?
CHRISTINA JULIA SMALL-TOM (MD)'s NPI is 1285195271 — the number used across U.S. healthcare to identify this provider.
Is CHRISTINA JULIA SMALL-TOM (MD) still an active registrant?
CHRISTINA JULIA SMALL-TOM (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for CHRISTINA JULIA SMALL-TOM (MD)?
At a glance, CHRISTINA JULIA SMALL-TOM (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHRISTINA JULIA SMALL-TOM (MD) located near Maywood?
CHRISTINA JULIA SMALL-TOM (MD) currently maps to Maywood, Illinois in this extract.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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