ADVANCED CARDIOVASCULAR SPECIALISTS, LLP
NPI 1366416919
Internal Medicine - Cardiovascular Disease in Beaumont, TX

Active since February 13, 2006CLIA 45D0957382 · Waiver
755 N. 11TH STREET, SUITE P2200, BEAUMONT, TX 77702(409) 892-1192(409) 892-9164 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Jul 21, 2022, May 31, 2017 (3 updates tracked since 2017).

About Advanced Cardiovascular Specialists, Llp NPPES

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

ADVANCED CARDIOVASCULAR SPECIALISTS, LLP (NPI 1366416919) is a healthcare organization registered as a cardiovascular disease in Beaumont, Texas and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Angela Foster, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1366416919
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameADVANCED CARDIOVASCULAR SPECIALISTS, LLP
Location Address755 N. 11TH STREET, SUITE P2200Beaumont, TX 77702-1501
Mailing Address755 N. 11th Street, Suite P2200Beaumont, TX 77702-1501 · (409) 892-1192 · Fax (409) 892-9164
Fax(409) 892-9164
Organization SubpartNo
Authorized OfficialAngela FosterPractice Administrator · (409) 892-1192
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1366416919 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.
755 N. 11TH STREET, Beaumont, TX 77702

Other Identifiers 2

OtherCI8264TX · Railroad Medicare
Medicaid080142501TX

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Cardiovascular Specialists, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20041016000210Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Advanced Cardiovascular Specialists, LLP, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Interventional Cardiology3
Cardiovascular Disease (Cardiology)2

Clinicians, nearest first (12)

Interventional Cardiology
NPI 1912467572
755 N 11TH ST STE P2200
Beaumont, TX 77702
(408) 892-1192
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821799594
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285207860
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1841293909
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1366686487
755 N 11TH ST P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1265485486
755 N 11TH ST SUITE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1326795451
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1891791091
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1689909418
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1275284796
755 N 11TH ST STE P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1083610224
755 N 11TH ST STE. P2200
Beaumont, TX 77702
(409) 892-1192
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1306405154
3406 COLLEGE ST STE 100
Beaumont, TX 77701
(409) 813-1677
✔ PECOS✔ Accepts Medicare1.4 mi

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 45D0957382

Advanced Cardiovascular Specialsts LLP · Beaumont, TX
Active · expires Feb 18, 2027
CLIA Number45D0957382
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorMark Fasulo Jr
Laboratory Phone(409) 892-1192
Laboratory LocationAdvanced Cardiovascular Specialsts LLP755 N 11th Street Suite P2200, Beaumont, TX 77702
CLIA data matches this NPI record on: Address 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 Advanced Cardiovascular Specialists, LLP's NPI number?

The NPI number for Advanced Cardiovascular Specialists, LLP is 1366416919. It was assigned to this organization in the NPPES registry on February 13, 2006.

Where is Advanced Cardiovascular Specialists, LLP located?

Advanced Cardiovascular Specialists, LLP is located at 755 N. 11th Street Suite P2200, Beaumont, TX 77702. The listed phone number is (409) 892-1192.

What is Advanced Cardiovascular Specialists, LLP's specialty?

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

Is Advanced Cardiovascular Specialists, LLP enrolled in Medicare?

Yes. Advanced Cardiovascular Specialists, LLP is registered in the Medicare PECOS enrollment system.

When is Advanced Cardiovascular Specialists, LLP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Cardiovascular Specialists, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Cardiovascular Specialists, 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 (7), Interventional Cardiology (3) and Cardiovascular Disease (Cardiology) (2). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Cardiovascular Specialists, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0957382) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Cardiovascular Specialists, LLP accept?

Health plans from WellPoint list Advanced Cardiovascular Specialists, LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Cardiovascular Specialists, LLP was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.