Active NPI
Urologic Specialists of Oklahoma Inc
- Urology Physician
- Fort Smith, AR
National Provider Identifier
1831944487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGIC SPECIALISTS OF OKLAHOMA INC
- Practice address
- 6801 Rogers Ave Ste 412
Fort Smith, AR 72903-4067 - Phone
- (918) 749-8765
- Fax
- (918) 392-2155
- NPI assigned
- Apr 18, 2024
- 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
- Dr. Shaun Gobind Singh Grewal, MD
- Title
- President
- Phone
- (918) 749-8765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
6801 Rogers Ave Ste 412
Fort Smith, AR 72903-4067
Mailing address
10901 E 48TH St
Tulsa, OK 74146-5830
Phone (918) 749-8765
Other names 1
- Urologic Specialists of Arkansas, P.A.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240711003153 | AR | DME Supplier - Physician - Urology | 3779470091 | Practice locations: Fort Smith, AR |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|---|
| 04D2082440 | Urologic Specialists of Arkansas, PA | Provider-performed microscopy | Aug 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Urologic Specialists of Arkansas PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Tulsa, OK
- NPI 1669700571
-
- Urology Physician
- Owasso, OK
- NPI 1619789310
Locations
6801 Rogers Ave
Ste 202
Fort Smith, AR 72903
Phone (479) 573-3947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1831944487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 E 48TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741465830",
"telephone_number": "918-749-8765",
"fax_number": "918-392-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 ROGERS AVE STE 412",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034067",
"telephone_number": "918-749-8765",
"fax_number": "918-392-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGIC SPECIALISTS OF OKLAHOMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "GREWAL",
"authorized_official_first_name": "SHAUN",
"authorized_official_middle_name": "GOBIND SINGH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-749-8765",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urologic Specialists of Arkansas, P.A.",
"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 Nov 24, 2025; 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.