Organization Active NPI

Heart & Lung Center of Southeast Texas PA

  • Clinical Cardiac Electrophysiology Physician
  • Cypress, TX
National Provider Identifier
1699181784
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
N7264 Issued in TX
Legal business name
HEART & LUNG CENTER OF SOUTHEAST TEXAS PA
Practice address
21212 Northwest Fwy Ste 265
Cypress, TX 77429-5883
Phone
(281) 653-9123
Fax
(281) 653-9175
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Anil GoliNPI 1629013008
Title
Ceo
Phone
(281) 653-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X N7264 TX Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 36561 TN

Addresses

Primary practice location

21212 Northwest Fwy Ste 265
Cypress, TX 77429-5883

Mailing address

21212 Northwest Fwy Ste 265
Cypress, TX 77429-5883
Phone (281) 653-9123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107001275 TX Part B Supplier - Clinic/Group Practice 4082937677 Receives reassigned benefits from 2 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

755 N 11th St
Ste 3900
Beaumont, TX 77702

2501 Jimmy Johnson Blvd
Ste 406
Port Arthur, TX 77640
Phone (409) 548-4761

525 9th Ave
Port Arthur, TX 77642
Phone (409) 983-2033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIDJCA
  • FHIR API: https://api.platform.athenahealth.com/9933/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1699181784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY STE 265",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295883",
            "telephone_number": "281-653-9123",
            "fax_number": "281-653-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY STE 265",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295883",
            "telephone_number": "281-653-9123",
            "fax_number": "281-653-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & LUNG CENTER OF SOUTHEAST TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-653-9123"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "N7264",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "36561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.