EXECUTIVE SURGERY CENTER OF LITTLE ROCK, LLC
NPI 1386177376
Clinic/Center - Ambulatory Surgical in Little Rock, AR

Q: What is Executive Surgery Center Of Little Rock, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 06, 2017CLIA 04D2131280 · Waiver

11220 EXECUTIVE CENTER DR, SUITE 100, LITTLE ROCK, AR 72211(501) 312-2121(501) 312-2330 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, May 1, 2018 (2 updates tracked since 2018).

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About Executive Surgery Center Of Little Rock, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE SURGERY CENTER OF LITTLE ROCK, LLC (NPI 1386177376) is a healthcare organization registered as an ambulatory surgical in Little Rock, Arkansas and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Britney Deshae Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386177376

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameEXECUTIVE SURGERY CENTER OF LITTLE ROCK, LLC

Location Address11220 EXECUTIVE CENTER DR, SUITE 100Little Rock, AR 72211-4320

Mailing Address11220 Executive Center Dr, Suite 100Little Rock, AR 72211-4320 · (501) 312-2121 · Fax (501) 312-2330

Phone(501) 312-2121

Fax(501) 312-2330

Organization SubpartNo

Authorized OfficialBritney Deshae SmithAdministrator · (501) 312-2121

Enumeration DateApril 6, 2017

Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration

NPPES CertifiedOctober 13, 2020

✔ NPI 1386177376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

11220 EXECUTIVE CENTER DR, Little Rock, AR 72211

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Other Identifiers 4

Medicaid225821128AR

Other3130254First Health

Other970544Aetna Coventry

Other6098850Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2131280

Executive Surgery Center Of Little Rock LLC · Little Rock, AR

Active · expires May 24, 2027

CLIA Number04D2131280

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 25, 2025

Certificate Expiration DateMay 24, 2027

Laboratory DirectorDr. Majid Saleem

Laboratory Phone(636) 219-6045

Laboratory LocationExecutive Surgery Center Of Little Rock LLC11220 Executive Center Drive, Suite 100, Little Rock, AR 72211

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

343 services132 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

131 services39 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

91 services37 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

76 services42 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

61 services20 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

41 services23 patients

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Surgery Center Of Little Rock, LLC's NPI number?

The NPI number for Executive Surgery Center Of Little Rock, LLC is 1386177376. It was assigned to this organization in the NPPES registry on April 6, 2017.

Where is Executive Surgery Center Of Little Rock, LLC located?

Executive Surgery Center Of Little Rock, LLC is located at 11220 Executive Center Dr Suite 100, Little Rock, AR 72211. The listed phone number is (501) 312-2121.

What is Executive Surgery Center Of Little Rock, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Executive Surgery Center Of Little Rock, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2131280) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Executive Surgery Center Of Little Rock, LLC accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Executive Surgery Center Of Little Rock, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Executive Surgery Center Of Little Rock, LLC was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.