Arkansas Surgery & Endoscopy Center
Organization Active NPI Ambulatory Surgical Clinic/Center · Pine Bluff, AR
NPI 1922068295 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1922068295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- R4495 (AR)
- Legal business name
- ARKANSAS SURGERY & ENDOSCOPY CENTER
- Practice address
- 4800 Hazel Street
Pine Bluff, AR 71603 - Phone
- (870) 536-4800
- Fax
- (870) 534-5535
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Ahmed Samad
- Title
- Ceo
- Phone
- (870) 692-0316
Member organizations 1
Practitioners 2
-
Syed Abdus Samad, MD
-
Ahmed I Khan, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Arkansas Surgery and Endoscopy Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070205000549 | AR | Part B Supplier - Ambulatory Surgical Center | 3870595820 | Practice locations: Pine Bluff, AR |
National Provider Directory
Locations
4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533
4800 S Hazel St
#B
Pine Bluff, AR 71603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | R4495 | AR | Yes |
| Endoscopy Clinic/Center | 261QE0800X | R4495 | AR |
Addresses
Primary practice location
4800 Hazel Street
Pine Bluff, AR 71603
Mailing address
PO Box 925
Pine Bluff, AR 71613
Phone (870) 536-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490002996 | Other | RAILROAD MEDICARE | |
| 5938123 | Other | AETNA | |
| 128777128 | Medicaid | AR | |
| 11004 | Other | AR | BLUE CROSS BLUE SHIELD |
| 6800006 | Other | UNITED HEALTHCARE |
Other names
- ASEC
Other providers in Pine Bluff, AR
- Arkansas Center for Women, LTD
- Arkansas Children'S Hospital
- Arkansas Foot & Ankle Clinic, PA
- Arkansas Medical Center
- Arkansas Nephrology & Hypertension Clinic PA
- Rusty Armstrong
- Simmie Armstrong Jr.
- Jessica Arnett
- ASC Anesthesia, PLLC
- Omar T Atiq
All providers in Pine Bluff, AR · Ambulatory Surgical Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. 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.
- 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.