NPIMap

Organization Active NPI

Advanced Cardiovascular Specialists, LLP

  • Cardiovascular Disease Physician
  • Beaumont, TX
National Provider Identifier
1366416919
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080142501MedicaidTX
CI8264OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

2955 Harrison Ave
Ste 304
Beaumont, TX 77702
Phone (409) 892-1192

755 N 11th St
Ste P
Beaumont, TX 77702

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

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": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080142501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI8264",
            "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.

Verify at the official NPI Registry.