Gary Li
Individual provider Active NPI Anesthesiology Physician · Little Rock, AR
NPI 1306208152 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1306208152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- E-12951 (AR)
- Practice address
- 1701 S Shackleford Rd
Little Rock, AR 72211-4335 - Phone
- (501) 219-7000
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Arkansas College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Anesthesia Associates PLLC
Practice addresses (Care Compare)
1701 S Shackleford Rd
Little Rock, AR 72211-4335
Phone (501) 219-7000
Hospital & facility affiliations
- Arkansas Heart Hospital, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200918002053 | AR | Practitioner - Anesthesiology | 2769776194 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Locations
1310 Centerview Dr
Little Rock, AR 72211
Phone (501) 410-1105
1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000
10201 Kanis Rd
Little Rock, AR 72205
Phone (501) 221-5050
10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151
3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 202-3631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E-12951 | AR | Yes |
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
Other providers in Little Rock, AR
- Whitnee Lewis
- Zachary B Lewis
- Amy Susan Tamer Leyba
- LHCG Clxvii, LLC
- LHCG Xlii, LLC
- Ruizong Li
- Helen T Liapis
- Libcare of Ar
- Avery C Lichty
- Mercedes Colleen Lide
All providers in Little Rock, AR · Anesthesiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.