Active NPI
Ronald L Kantola, DO
- Specialist
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036-108668
- Practice address
- 4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7660 - Phone
- (479) 484-1010
- Fax
- (479) 785-9916
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036-108668 | IL | Primary |
Addresses
Primary practice location
4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7660
Mailing address
PO Box 11768
Fort Smith, AR 72917-1768
Phone (479) 484-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161909003 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Dodson Ave
Suite 60
Fort Smith, AR 72901-5182
Phone (479) 709-7325
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone (918) 774-1116
4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7632
Phone (479) 484-1010
Hospital & facility affiliations
- Sequoyah County-City of Sallisaw Hospital Authorit
- Baptist Health - Fort Smith
- Mercy Hospital Fort Smith
- Ascension St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-108668 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Services | Current | Accepting new patients | |
| Baptist Health Services | Current | Accepting new patients | |
| Arkansas Heart Center, PLC | Current | Accepting new patients | |
| Sparks Medical Foundation | Past | Accepting new patients | |
| Labone LLC | Past | Accepting new patients | |
| Sequoyah County City of Sallisaw Hospital Authority | Past | Accepting new patients |
Locations
4200 Jenny Lind Rd
Ste A
Fort Smith, AR 72901
Phone (479) 484-1010
1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260
1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325
1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100
Interoperability endpoints
- rkantola4284@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.
-
- Foot & Ankle Surgery Podiatrist
- Fort Smith, AR
- NPI 1922587690
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1750856043
-
- Clinical Medical Laboratory
- Fort Smith, AR
- NPI 1487926572
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1386634285
-
- Rural Acute Care Hospital
- Sallisaw, OK
- NPI 1972539567
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- Rural Acute Care Hospital
- Sallisaw, OK
- NPI 1972539567
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1265412506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11768",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171768",
"telephone_number": "479-484-1010",
"fax_number": "479-785-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 JENNY LIND RD",
"address_2": "SUITE A",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729017660",
"telephone_number": "479-484-1010",
"fax_number": "479-785-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTOLA",
"first_name": "RONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-108668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161909003",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.