NPIMap

Organization Active NPI

Nirp Beaumont, PLLC

Doing business as PAD Specialists - Beaumont

  • Interventional Cardiology Physician
  • Beaumont, TX
National Provider Identifier
1609392430
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
NIRP BEAUMONT, PLLC
Doing business as
PAD Specialists - Beaumont
Practice address
755 S 11TH St Ste 100a
Beaumont, TX 77701-3221
Phone
(281) 888-8999
Fax
(281) 305-4054
NPI assigned
Aug 14, 2017
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Andrew Ekansh Gomes, MDNPI 1215068796
Title
Authorized Official
Phone
(281) 888-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X
Interventional Cardiology Physician 207RI0011X Primary
Vascular & Interventional Radiology Physician 2085R0204X
Vascular Surgery Physician 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

Addresses

Primary practice location

755 S 11TH St Ste 100a
Beaumont, TX 77701-3221

Mailing address

PO Box 733827
Dallas, TX 75373-3827
Phone (281) 888-8999

Other names 1

  • PAD Specialists - Beaumont Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170915000494 TX Part B Supplier - Clinic/Group Practice 1658645536 Receives reassigned benefits from 26 practitioners
Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1609392430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733827",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733827",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST STE 100A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013221",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRP BEAUMONT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "EKANSH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-888-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAD Specialists - Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2023; 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.