RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A.
NPI 1417610999
Obstetrics & Gynecology in Russellville, AR
About River Valley Obstetrics And Gynecology, P. A. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A. (NPI 1417610999) is a healthcare organization registered as an obstetrics & gynecology in Russellville, Arkansas and active in the NPI registry since October 2021. The organization holds a CLIA Certificate of Compliance certificate valid through December 1, 2026 and lists Suzanna Chatterjee, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
River Valley Obstetrics And Gynecology, P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to River Valley Obstetrics And Gynecology, P. A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 04D2240675
River Valley Obstetrics And Gynecology · Russellville, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is River Valley Obstetrics And Gynecology, P. A.'s NPI number?
The NPI number for River Valley Obstetrics And Gynecology, P. A. is 1417610999. It was assigned to this organization in the NPPES registry on October 20, 2021.
Where is River Valley Obstetrics And Gynecology, P. A. located?
River Valley Obstetrics And Gynecology, P. A. is located at 2500 W Main St, Russellville, AR 72801. The listed phone number is (479) 219-9913.
What is River Valley Obstetrics And Gynecology, P. A.'s specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is River Valley Obstetrics And Gynecology, P. A. enrolled in Medicare?
Yes. River Valley Obstetrics And Gynecology, P. A. is registered in the Medicare PECOS enrollment system.
When is River Valley Obstetrics And Gynecology, P. A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through River Valley Obstetrics And Gynecology, P. A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to River Valley Obstetrics And Gynecology, P. A., in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does River Valley Obstetrics And Gynecology, P. A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D2240675) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does River Valley Obstetrics And Gynecology, P. A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list River Valley Obstetrics And Gynecology, P. A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for River Valley Obstetrics And Gynecology, P. A. was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# River Valley Obstetrics And Gynecology, P. A. · NPI 1417610999
Obstetrics & Gynecology organization in Russellville, Arkansas. Organization record, active in the CMS NPPES registry since October 20, 2021.
## Identity
- **NPI:** 1417610999 (Entity type: Organization)
- **Enumerated:** October 20, 2021
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Suzanna Chatterjee, PROVIDER/OWNER
## Practice location
- **Address:** 2500 W MAIN ST, Russellville, AR 72801-2533
- **Phone:** (479) 219-9913
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Obstetrics/Gynecology (2); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2021
- **Other identifiers:** Medicaid 211170001 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417610999) · Data from the CMS NPPES public registry.