Robert D'Shaun Groff, DO
Individual provider Active NPI Family Medicine Physician · Little Rock Afb, AR
NPI 1154028413 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1154028413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2025017753 (MO)
- Practice address
- 1090 Arnold Dr BLDG 1090
Little Rock Afb, AR 72099-4933 - Phone
- (501) 987-8811
- Fax
- (501) 987-7340
- NPI assigned
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210001505 | IL | Order and Referring Only - Family Practice |
8729514088 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025017753 | MO | Yes |
Addresses
Primary practice location
1090 Arnold Dr BLDG 1090
Little Rock Afb, AR 72099-4933
Mailing address
1090 Arnold Dr BLDG 1090
Little Rock Afb, AR 72099-4933
Phone (501) 987-8811
Other providers in Little Rock Afb, AR
- Gena Rochelle Garrett
- Katherine B Gilchrist
- Zachary Preston Gravgaard
- Ashley Jean Green
- Jeremy Griffin
- Ruth Paula Gullotta
- Megan Hager
- John Hammill
- Brady Hansen
- Marilyn Jeanne Hardy
All providers in Little Rock Afb, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.