SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP
NPI 1164455671
Internal Medicine - Cardiovascular Disease in Beaumont, TX

Active since July 08, 2006CLIA 45D0959669 · Waiver
2693 NORTH ST, BEAUMONT, TX 77702(409) 832-8862(409) 835-5132 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Texas Cardiology Associates Ii Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP (NPI 1164455671) is a healthcare organization registered as a cardiovascular disease in Beaumont, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Amber Flynn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164455671
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP
Location Address2693 NORTH STBeaumont, TX 77702-1624
Mailing AddressPo Box 7410Beaumont, TX 77726-7410 · (409) 832-8862 · Fax (409) 832-1664
Fax(409) 835-5132
Organization SubpartNo
Authorized OfficialAmber FlynnOffice Manager · (409) 554-4928
Enumeration DateJuly 8, 2006
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1164455671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2693 NORTH ST, Beaumont, TX 77702

Other Identifiers 1

Medicaid127017504TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Texas Cardiology Associates Ii Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southeast Texas Cardiology Associates II LLP, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1689012965
2693 NORTH ST
Beaumont, TX 77702
(409) 832-8862
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831676550
2693 NORTH ST
Beaumont, TX 77702
(409) 832-8862
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972921500
2693 NORTH ST
Beaumont, TX 77702
(409) 832-8862
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1225073349
2693 NORTH ST
Beaumont, TX 77702
(409) 832-8862
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1255376679
2693 NORTH ST
Beaumont, TX 77702
(409) 832-8862
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0959669

Southeast Texas Cardiology Assoc LLP · Beaumont, TX
Active · expires Apr 15, 2027
CLIA Number45D0959669
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorRodolfo P. Sotolongo
Laboratory Phone(409) 832-8862
Laboratory LocationSoutheast Texas Cardiology Assoc LLP2693 North Street, Beaumont, TX 77702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Texas Cardiology Associates II LLP's NPI number?

The NPI number for Southeast Texas Cardiology Associates II LLP is 1164455671. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Southeast Texas Cardiology Associates II LLP located?

Southeast Texas Cardiology Associates II LLP is located at 2693 North St, Beaumont, TX 77702. The listed phone number is (409) 832-8862.

What is Southeast Texas Cardiology Associates II LLP's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Southeast Texas Cardiology Associates II LLP enrolled in Medicare?

Yes. Southeast Texas Cardiology Associates II LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Texas Cardiology Associates II LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast Texas Cardiology Associates II LLP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Cardiovascular Disease (Cardiology) (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeast Texas Cardiology Associates II LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0959669) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Texas Cardiology Associates II LLP was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.