River Valley Surgery Center PLLC
NPI 1053037218 · Ambulatory Surgical Clinic/Center · Russellville, AR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
River Valley Surgery Center PLLC is a Ambulatory Surgical Clinic/Center organization in Russellville, AR (NPI 1053037218).
Provider details
- NPI number
- 1053037218
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ahmad Rafi, Owner(479) 967-7770
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Frequently asked questions
- What is River Valley Surgery Center PLLC's NPI number?
- River Valley Surgery Center PLLC's National Provider Identifier (NPI) is 1053037218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is River Valley Surgery Center PLLC?
- River Valley Surgery Center PLLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is River Valley Surgery Center PLLC located?
- River Valley Surgery Center PLLC's practice location on file with NPPES is 3110 W Main St, Russellville, AR 72801-2455.
- What is River Valley Surgery Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for River Valley Surgery Center PLLC is (479) 967-7770.
- Does River Valley Surgery Center PLLC accept Medicare?
- River Valley Surgery Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for River Valley Surgery Center PLLC?
- The authorized official listed on River Valley Surgery Center PLLC's NPPES record is Ahmad Rafi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is River Valley Surgery Center PLLC's NPI active?
- Yes — River Valley Surgery Center PLLC's NPI (1053037218) is active in the NPPES registry as of the last update on 2022-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.