Active NPI
Advanced Cardiovascular Specialists, LLP
- Cardiovascular Disease Physician
- Beaumont, TX
National Provider Identifier
1366416919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ADVANCED CARDIOVASCULAR SPECIALISTS, LLP
- Practice address
- 755 N. 11TH Street
Suite P2200
Beaumont, TX 77702-1501 - Phone
- (409) 892-1192
- Fax
- (409) 892-9164
- NPI assigned
- Feb 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Foster
- Title
- Practice Administrator
- Phone
- (409) 892-1192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
755 N. 11TH Street
Suite P2200
Beaumont, TX 77702-1501
Mailing address
755 N. 11TH Street
Suite P2200
Beaumont, TX 77702-1501
Phone (409) 892-1192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI8264 | Other | TX | RAILROAD MEDICARE |
| 080142501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041016000210 | TX | Part B Supplier - Clinic/Group Practice | 9032179791 |
Receives reassigned benefits from 12 practitioners Practice locations: Beaumont, TX; Jasper, TX; Nederland, TX; Woodville, TX |
National Provider Directory
National Provider DirectoryLocations
755 N 11th St
Ste P2200
Beaumont, TX 77702
Phone (409) 892-1192
755 N 11th St
Ste P
Beaumont, TX 77702
2014 S Wheeler St
Ste 200
Jasper, TX 75951
Phone (409) 383-1780
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Beaumont, TX
- NPI 1841293909
Cardiovascular Disease, TX
-
- Cardiovascular Disease Physician
- Beaumont, TX
- NPI 1356338347
Cardiovascular Disease, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1366416919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 N. 11TH STREET",
"address_2": "SUITE P2200",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021501",
"telephone_number": "409-892-1192",
"fax_number": "409-892-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N. 11TH STREET",
"address_2": "SUITE P2200",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021501",
"telephone_number": "409-892-1192",
"fax_number": "409-892-9164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARDIOVASCULAR SPECIALISTS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-13",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "409-892-1192"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI8264",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080142501",
"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 May 14, 2026; 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.