Active NPI
River Valley Gastroenterology, PLLC
- Gastroenterology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- RIVER VALLEY GASTROENTEROLOGY, PLLC
- Practice address
- 9001 Jenny Lind Rd Ste 2
Fort Smith, AR 72908-8629 - Phone
- (479) 444-3566
- Fax
- (479) 316-4464
- NPI assigned
- Dec 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenifer Kolbert, RN, COO
- Title
- Chief Operating Officer
- Phone
- (479) 444-3566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
9001 Jenny Lind Rd Ste 2
Fort Smith, AR 72908-8629
Mailing address
9001 Jenny Lind Rd Ste 2
Fort Smith, AR 72908-8629
Phone (479) 444-3566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201263180A | Medicaid | OK | |
| 316656002 | Medicaid | AR |
Other names 1
- River Valley Gastroenterology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2298327 | River Valley Gastroenterology | Compliance | Jan 6, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Fort Smith, AR
- NPI 1083206866
Member Of
Locations
9001 Jenny Lind Rd
Ste 2
Fort Smith, AR 72908
Phone (479) 444-3566
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Fort Smith, AR
- NPI 1316361009
-
- Gastroenterology Physician
- Fort Smith, AR
- NPI 1861502973
-
- Family Nurse Practitioner
- Fort Smith, AR
- NPI 1295664589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1346016185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD STE 2",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629",
"telephone_number": "479-444-3566",
"fax_number": "479-316-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD STE 2",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629",
"telephone_number": "479-444-3566",
"fax_number": "479-316-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY GASTROENTEROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "KOLBERT",
"authorized_official_first_name": "JENIFER",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "479-444-3566",
"authorized_official_credential": "RN, COO"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201263180A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316656002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Gastroenterology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Smith, AR
- Nohemy Rivas
- River Valley Anesthesia Associates, P. a.
- River Valley Back and Neck Clinic, Inc
- River Valley Community Center
- River Valley Dental Group PLLC
- River Valley Mobile Dental Clinic
- River Valley Oral & Maxillofacial Surgery PLC
- River Valley Pediatric Dentistry PLLC
- River Valley Pediatrics LLC
- River Valley Primary Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.