Individual provider Active NPI

Robert Foreman, CRNA

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
National Provider Identifier
1104986199
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP114487 Issued in TX
Practice address
755 N 11TH St Ste P3600
Beaumont, TX 77702-1515
Phone
(409) 838-5214
Fax
(409) 838-1946
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN97773 AP04613 LA
Certified Registered Nurse Anesthetist 367500000X AP114487 TX Primary

Addresses

Primary practice location

755 N 11TH St Ste P3600
Beaumont, TX 77702-1515

Mailing address

PO Box 5587
Beaumont, TX 77726-5587
Phone (409) 838-5214

Other identifiers 2

IdentifierTypeStateIssuer
RN97773 AP04613OtherLAADVANCED PRACTICE LIC
AP114487OtherTXAPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050413000039 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729037304 Reassigns benefits to 3 organizations
I20190816000513 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729037304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Cardiovascular Diseases, LLCGroup PAC ID 1951541515, 34 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3255

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 236-7395

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5002

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN97773 AP04613LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 8, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 10, 2025 Accepting new patients
Lake Charles Anesthesiology, Apmc CurrentSince Feb 1, 2020 Accepting new patients
Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4150 Nelson Rd
Ste A4
Lake Charles, LA 70605
Phone (318) 474-6353

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 6

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 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1104986199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5587",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265587",
            "telephone_number": "409-838-5214",
            "fax_number": "409-838-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P3600",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021515",
            "telephone_number": "409-838-5214",
            "fax_number": "409-838-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN97773 AP04613",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP114487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE LIC",
            "identifier": "RN97773 AP04613",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "AP114487",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.