Organization Active NPI

Gastro Pathology Specialists PLLC

  • Clinical Medical Laboratory
  • North Little Rock, AR
National Provider Identifier
1033090907
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GASTRO PATHOLOGY SPECIALISTS PLLC
Practice address
5328 Northshore CV Ste 1a
North Little Rock, AR 72118-5332
Phone
(501) 225-1400
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Rosalyn Keani Enos, MDNPI 1790980837
Title
Doctor
Phone
(501) 225-1400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5328 Northshore CV Ste 1a
North Little Rock, AR 72118-5332

Mailing address

5328 Northshore CV Ste 1a
North Little Rock, AR 72118-5332
Phone (501) 225-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251227000099 AR Part B Supplier - Clinic/Group Practice 9436645512 Receives reassigned benefits from 2 practitioners
Practice locations: North Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2330978Gastro Pathology Specialists PLLC5328 Northshore Cove Suite 101, North Little Rock, AR 72118RegistrationSep 23, 2027

National Provider Directory

National Provider Directory

Locations

5328 Northshore Cv
Ste 1A
North Little Rock, AR 72118
Phone (501) 225-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1033090907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 NORTHSHORE CV STE 1A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185332",
            "telephone_number": "501-225-1400",
            "fax_number": "501-225-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 NORTHSHORE CV STE 1A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185332",
            "telephone_number": "501-225-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO PATHOLOGY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ENOS",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "KEANI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "501-225-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.

Verify at the official NPI Registry.