Active NPI
David W Backstedt, MD
- Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1245587203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E-10719
- Practice address
- 11700 Cantrell Rd
Little Rock, AR 72223-1705 - Phone
- (501) 664-6980
- Fax
- (501) 664-4738
- NPI assigned
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E-10719 | AR | Primary |
Addresses
Primary practice location
11700 Cantrell Rd
Little Rock, AR 72223-1705
Mailing address
11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone (501) 664-6980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220935001 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170711000100 | AR | Practitioner - Gastroenterology | 0941579791 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Louisiana State University School of Medicine in New Orleans, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastroenterology Associates PA
Practice addresses (Care Compare)
11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone (501) 664-6980
Hospital & facility affiliations
- Baptist Health Medical Center- Conway
- Conway Regional Medical Center, Inc
- CHI-St Vincent Infirmary
- Baptist Health Medical Center-Little Rock
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 149 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-10719 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates PA | Current | Accepting new patients | |
| Gastro-Intestinal Center Inc | Past | Accepting new patients | |
| Arkansas Gastroenterology | Gastroenterology | Past | Accepting new patients |
Locations
455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799
11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980
10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000
409 N University Ave
Little Rock, AR 72205
Phone (501) 246-4561
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Springdale, AR
- NPI 1508400425
AR
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1215919329
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
-
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1245587203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231705",
"telephone_number": "501-664-6980",
"fax_number": "501-664-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231705",
"telephone_number": "501-664-6980",
"fax_number": "501-664-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKSTEDT",
"first_name": "DAVID",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "E-10719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220935001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.