Organization Active NPI

Associated Cardiovascular & Thoracic Surgeons, L.L.P.

  • Vascular Surgery Physician
  • Beaumont, TX
National Provider Identifier
1245382597
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ASSOCIATED CARDIOVASCULAR & THORACIC SURGEONS, L.L.P.
Practice address
755 N 11TH St
Suite P2240
Beaumont, TX 77702-1500
Phone
(409) 899-4747
Fax
(409) 899-4881
NPI assigned
Jan 17, 2007
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Mrs. Kari Cardenas
Title
Practice Manager
Phone
(409) 899-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

755 N 11TH St
Suite P2240
Beaumont, TX 77702-1500

Mailing address

755 N 11TH St
Suite P2240
Beaumont, TX 77702-1500
Phone (409) 899-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050509001075 TX Part B Supplier - Clinic/Group Practice 2860432820 Receives reassigned benefits from 3 practitioners
Practice locations: Beaumont, TX
O20210707003729 LA Part B Supplier - Clinic/Group Practice 2860432820 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

755 N 11th St
Ste 2240
Beaumont, TX 77702
Phone (409) 899-4747

755 N 11th St
Ste P224
Beaumont, TX 77702

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1245382597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2240",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-899-4747",
            "fax_number": "409-899-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2240",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-899-4747",
            "fax_number": "409-899-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CARDIOVASCULAR & THORACIC SURGEONS, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "409-899-4747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.