Individual provider Active NPI

Jeffrey D Robertson, MD

  • Gastroenterology Physician
  • Little Rock, AR
National Provider Identifier
1366709404
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-9288 Issued in AR
Practice address
11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone
(501) 664-6980
Fax
(501) 664-4738
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E-9288 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 2

IdentifierTypeStateIssuer
208307795MedicaidAR
E-9288OtherARSTATE MEDICAL LICENSE

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
I20180510000589 AR Practitioner - Gastroenterology 9638329410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates PAGroup PAC ID 5698687101, 31 clinicians

Practice addresses (Care Compare)

11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone (501) 664-6980

Hospital & facility affiliations

  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy158
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates PA CurrentSince Oct 15, 2024 Accepting new patients
Gastro Clinics of Arkansas, PLLC CurrentSince May 30, 2018 Accepting new patients
Arkansas Gastroenterology Gastroenterology Past Accepting new patients
Conway Endoscopy Center, Inc. PastSince Mar 1, 2022 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

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

409 N University Ave
Little Rock, AR 72205
Phone (501) 246-4561

3401 Springhill Dr
Ste 400A
North Little Rock, AR 72117
Phone (501) 791-3800

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.

Hospital & facility affiliations 5

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1366709404",
    "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": "ROBERTSON",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "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-9288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208307795",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "E-9288",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.