Individual provider Active NPI

Ronald P. Knobloch, M.D.

  • Urology Physician
  • Fort Smith, AR
National Provider Identifier
1962454710
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R4235 Issued in AR
Practice address
6801 Rogers Ave Ste 412
Fort Smith, AR 72903-4067
Phone
(479) 573-3947
Fax
(479) 478-0548
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R4235 AR 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 identifiers 1

IdentifierTypeStateIssuer
120106001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000497 AR Practitioner - Urology 8628055746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in Shreveport, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians
Urologic Specialists of Oklahoma IncGroup PAC ID 3779470091, 45 clinicians

Practice addresses (Care Compare)

5500 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone (479) 709-7295

6801 Rogers Ave
Suite 202
Fort Smith, AR 72903-4067
Phone (918) 749-8765

Hospital & facility affiliations

  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4235ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Services CurrentSince Nov 1, 2018 Accepting new patients
Urologic Specialists of Oklahoma Inc Urology CurrentSince Nov 18, 2025 Accepting new patients
Urologic Specialists of Oklahoma Inc Urology CurrentSince Nov 18, 2025 Accepting new patients

Locations

6801 Rogers Ave
Ste 412
Fort Smith, AR 72903
Phone (479) 573-3947

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

5500 Ellsworth Rd
Fort Smith, AR 72903
Phone (479) 242-2411

6801 Rogers Ave
Ste 202
Fort Smith, AR 72903
Phone (479) 573-3947

1500 Dodson Ave
Ste 285
Fort Smith, AR 72901
Phone (479) 709-7080

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

10901 E 48th St
Tulsa, OK 74146
Phone (918) 749-8765

Interoperability endpoints

  • Direct secure messaging: rknobloch267821@direct.baptist-healthar.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1962454710",
    "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": "479-573-3947",
            "fax_number": "479-478-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLOCH",
        "first_name": "RONALD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "R4235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120106001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.