Active NPI
Urologic Specialists of Oklahoma Inc
Doing business as Urologic Specialists of Arkansas, P.A.
- Urology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGIC SPECIALISTS OF OKLAHOMA INC
- Doing business as
- Urologic Specialists of Arkansas, P.A.
- 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
- Last updated
- Nov 24, 2025
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 412
Fort Smith, AR 72903
Phone (479) 573-3947
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Tulsa, OK
- NPI 1972764496
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
- University of Arkansas for Medical Sciences (Childrens UIniversity Medical Group)
- University of Arkansas for Medical Sciences (AHEC Family Medical Center)
- University of Arkansas for Medical Sciences
- Upchurch Holdings (Life Therapeutic)
- Peyton Upchurch
- Urology Group of Western Arkansas
- Muhammad Usman, M.D.
- Denise Valentin, R.N.P.
- Luis Ernsto Valle
- Valley Group, PLLC (Valley Health Care)
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.