Organization Active NPI

River Valley Gastroenterology, PLLC

  • Gastroenterology Physician
  • Fort Smith, AR
National Provider Identifier
1346016185
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on May 27, 2026

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
201263180AMedicaidOK
316656002MedicaidAR

Other names 1

  • River Valley Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129001129 AR Part B Supplier - Clinic/Group Practice 7911350707 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Smith, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2298327River Valley Gastroenterology9001 Jenny Lind Road, Ste 2, Fort Smith, AR 72908ComplianceJan 6, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.