Organization Active NPI

Northwest Arkansas Urology Associates, PLLC

  • Urology Physician
  • Fayetteville, AR
National Provider Identifier
1720418213
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MC-2938 Issued in AR
Legal business name
NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC
Practice address
1300 E Zion Rd
Fayetteville, AR 72703-5015
Phone
(479) 521-8980
Fax
(479) 521-1088
NPI assigned
Nov 19, 2013
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Nirmal Kilambi, MDNPI 1861476897
Title
Managing Partner
Phone
(479) 521-8980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MC-2938 AR Primary

Addresses

Primary practice location

1300 E Zion Rd
Fayetteville, AR 72703-5015

Mailing address

1300 E Zion Rd
Fayetteville, AR 72703-5015
Phone (479) 521-8980

Other identifiers 1

IdentifierTypeStateIssuer
MC-2938OtherARMEDCIAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410002014 AR Part B Supplier - Clinic/Group Practice 9739311499 Receives reassigned benefits from 4 practitioners
Practice locations: Eureka Springs, AR; Bentonville, AR; Springdale, AR; Rogers, AR; Fayetteville, AR; Siloam Springs, AR

National Provider Directory

National Provider Directory

Locations

2000 S 42nd St
Ste 105
Rogers, AR 72758
Phone (479) 521-8980

620 Broadway St
Van Buren, AR 72956
Phone (479) 474-5061

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1720418213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E ZION RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035015",
            "telephone_number": "479-521-8980",
            "fax_number": "479-521-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E ZION RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035015",
            "telephone_number": "479-521-8980",
            "fax_number": "479-521-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "KILAMBI",
        "authorized_official_first_name": "NIRMAL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "479-521-8980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "MC-2938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCIAL LICENSE",
            "identifier": "MC-2938",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.