Individual provider Active NPI

Ronald L Kantola, DO

  • Specialist
  • Fort Smith, AR
National Provider Identifier
1265412506
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-108668 Issued in IL
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

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
161909003MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061011000616 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375549595 Reassigns benefits to 2 organizations
I20070529000014 OK Practitioner - Cardiovascular Disease (Cardiology) 3375549595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians
Arkansas Heart Center, PLCGroup PAC ID 4082502174, 5 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108668ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Jul 31, 2025 Accepting new patients
Baptist Health Services CurrentSince Jul 31, 2025 Accepting new patients
Arkansas Heart Center, PLC CurrentSince Jul 1, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.