Individual provider Active NPI

Thomas Randolph Lombardo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
National Provider Identifier
1891791091
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F9748 Issued in TX
Practice address
755 N 11TH St Ste P2200
Beaumont, TX 77702-1513
Phone
(409) 892-1192
Fax
(409) 924-9012
NPI assigned
Jun 22, 2005
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F9748 TX Primary

Addresses

Primary practice location

755 N 11TH St Ste P2200
Beaumont, TX 77702-1513

Mailing address

755 N 11TH St Ste P2200
Beaumont, TX 77702-1513
Phone (409) 892-1192

Other identifiers 2

IdentifierTypeStateIssuer
122877701MedicaidTX
060049471OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000750 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7911999149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Southwestern Medical School at Dallas, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Specialists LLPGroup PAC ID 9032179791, 12 clinicians
Cardiac Cath Lab of Beaumont, LPGroup PAC ID 2466630421, 4 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1513
Phone (409) 892-1192

755 N 11TH St
Suite P3970A
Beaumont, TX 77702-1593
Phone (409) 924-3996

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Pacemaker insertion or repair14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Cath Lab of Beaumont, LP CurrentSince Mar 1, 2011 Accepting new patients
Christus Health Southeast Texas Cardiovascular Disease Current Accepting new patients
Christus Health Southeast Texas CurrentSince Feb 1, 2010 Accepting new patients
Christus Health Southeast Texas CurrentSince Feb 1, 2010 Accepting new patients
Beaumont ASC, LP PastSince Aug 28, 2022 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

755 N 11th St
Ste P2200
Beaumont, TX 77702
Phone (409) 892-1192

755 N 11th St
Ste P3970A
Beaumont, TX 77702
Phone (409) 924-3996

755 N 11th St
Ste P3970B
Beaumont, TX 77702
Phone (409) 924-3996

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Interoperability endpoints

  • Direct secure messaging: rlombardo@yourcarecommunity.org
  • Direct secure messaging: thomas.lombardo.d1.p4@direct.ahgcardiology.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1891791091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021513",
            "telephone_number": "409-892-1192",
            "fax_number": "409-924-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021513",
            "telephone_number": "409-892-1192",
            "fax_number": "409-924-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "THOMAS",
        "middle_name": "RANDOLPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F9748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122877701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060049471",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.