Individual provider Active NPI

Kyle B Basham, MD

  • Urology Physician
  • Fort Smith, AR
National Provider Identifier
1043573355
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-10368 Issued in AR
Practice address
6801 Rogers Ave Ste 202
Fort Smith, AR 72903-4067
Phone
(479) 573-3947
Fax
(479) 478-0548
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X E-10368 AR Primary

Addresses

Primary practice location

6801 Rogers Ave Ste 202
Fort Smith, AR 72903-4067

Mailing address

10901 E 48TH St
Tulsa, OK 74146-5830
Phone (918) 749-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829002550 AR Practitioner - UrologyPractitioner - General Surgery 3678715109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians
Urologic Specialists of Oklahoma IncGroup PAC ID 3779470091, 45 clinicians

Practice addresses (Care Compare)

5500 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone (479) 709-7295

6801 Rogers Ave
Suite 202
Fort Smith, AR 72903-4067
Phone (918) 749-8765

Hospital & facility affiliations

  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Single Specialty CurrentSince Nov 1, 2018 Accepting new patients
Massard Ambulatory Surgery Center, LLC Current Accepting new patients
Urologic Specialists of Oklahoma Inc Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Urologic Specialists of Oklahoma Inc Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Baptist Health Services Single Specialty CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients

Locations

937 Highway 64 E
Alma, AR 72921
Phone (479) 632-3855

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

6801 Rogers Ave
Ste 202
Fort Smith, AR 72903
Phone (479) 573-3947

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

5500 Ellsworth Rd
Fort Smith, AR 72903
Phone (479) 242-2411

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

10901 E 48th St
Tulsa, OK 74146
Phone (918) 749-8765

Interoperability endpoints

  • Direct secure messaging: kbasham260408@direct.baptist-healthar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1043573355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 E 48TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465830",
            "telephone_number": "918-749-8765",
            "fax_number": "918-392-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ROGERS AVE STE 202",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034067",
            "telephone_number": "479-573-3947",
            "fax_number": "479-478-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "KYLE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "E-10368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.