Active NPI
Gary Li
- Anesthesiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E-12951
- Practice address
- 1701 S Shackleford Rd
Little Rock, AR 72211-4335 - Phone
- (501) 219-7000
- NPI assigned
- Mar 22, 2016
- Last updated
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E-12951 | AR | Primary |
Addresses
Primary practice location
1701 S Shackleford Rd
Little Rock, AR 72211-4335
Mailing address
PO Box 2407
Benton, AR 72018-2407
Phone (501) 507-1420
Other practice location 1
1310 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 410-1127
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Arkansas College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Shackleford Rd
Little Rock, AR 72211-4335
Phone (501) 219-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12951 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Anesthesia Associates, PLLC. | Anesthesiology | Current | Accepting new patients |
| Centerview Surgery Center, LLC | Past | Accepting new patients | |
| Nurse Anesthetist Professionals Inc | Anesthesiology | Past | Accepting new patients |
Locations
10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050
10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151
1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Benton, AR
- NPI 1497023360
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1679001028
-
- Anesthesiology Physician
- Conway, AR
- NPI 1689661696
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Heart Hospital Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1306208152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2407",
"city": "BENTON",
"state": "AR",
"postal_code": "720182407",
"telephone_number": "501-507-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114335",
"telephone_number": "501-219-7000"
}
],
"practiceLocations": [
{
"address_1": "1310 Centerview Dr",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722114349",
"country_code": "US",
"telephone_number": "501-410-1127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2023-02-13",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-12951",
"primary": true
}
],
"identifiers": [],
"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 Feb 13, 2023; 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.