Individual provider Active NPI

Gary Li

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1306208152
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-12951 Issued in AR
Practice address
1701 S Shackleford Rd
Little Rock, AR 72211-4335
Phone
(501) 219-7000
NPI assigned
Mar 22, 2016
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918002053 AR Practitioner - Anesthesiology 2769776194 Reassigns benefits to 1 organization

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
Arkansas Anesthesia Associates PLLCGroup PAC ID 6406023142, 85 clinicians

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

LicenseStateTypeSpecialty
E-12951ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Anesthesia Associates, PLLC. Anesthesiology CurrentSince Jul 5, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.