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BEAUMONT HEART & VASCULAR SURGERY CENTER
NPI 1417409285
Clinic/Center - Ambulatory Surgical in Beaumont, TX

Active since October 27, 2016CLIA Certified · 2 labs
755 N 11TH ST, SUITE P3970B, BEAUMONT, TX 77702(409) 924-3996(409) 924-3916 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2023, Aug 15, 2022, Dec 28, 2020 and 1 more (4 updates tracked since 2016).

About Beaumont Heart & Vascular Surgery Center NPPES

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

BEAUMONT HEART & VASCULAR SURGERY CENTER (NPI 1417409285) is a healthcare organization registered as an ambulatory surgical in Beaumont, Texas and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Kelly Marie Bemis, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1417409285
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBEAUMONT ASC, LP
Location Address755 N 11TH ST, SUITE P3970BBeaumont, TX 77702-1500
Mailing AddressDept# 6011, Po Box 4417Houston, TX 77210-4417 · (610) 644-8900 · Fax (484) 924-0053
Phone(409) 924-3996
Fax(409) 924-3916
Organization SubpartNo
Authorized OfficialKelly Marie BemisAuthorized Official · (858) 722-2358
Enumeration DateOctober 27, 2016
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1417409285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
755 N 11TH ST, Beaumont, TX 77702
Open in Google Maps ↗

Other Names 1

Doing Business AsBeaumont Heart & Vascular Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 45D2121677

Beaumont Heart & Vascular Surgery Center · Beaumont, TX
Active · expires Oct 12, 2027
CLIA Number45D2121677
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorKathy Rider
Laboratory Phone(409) 924-3996
Laboratory LocationBeaumont Heart & Vascular Surgery Center755 North 11th Street, Suite P3970b, Beaumont, TX 77702
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D2122986

Beaumont Heart & Vascular Center · Beaumont, TX
Active · expires Mar 31, 2028
CLIA Number45D2122986
Laboratory TypeCardiac Cath Lab
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorJorge A. Hernandez
Laboratory Phone(409) 924-3996
Laboratory LocationBeaumont Heart & Vascular Center755 North 11th Street, Suite P3970-A, Beaumont, TX 77702
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
178 services176 patients
Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch C9600
This procedure involves threading a small tube through a blood vessel to your heart to open a blocked artery. A drug-eluting stent, a tiny mesh tube that releases medication, is then placed in the artery to keep it open and improve blood flow to your heart.
82 services72 patients
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460
This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.
35 services35 patients
Insertion of heart rhythm monitor under skin 33285
The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.
33 services32 patients
Insertion of pacemaker and upper and lower heart chamber electrode 33208
A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
30 services29 patients
Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459
This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.
29 services29 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BONNI BLUE STANCOVEN CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MUSTAFA IBRAHIM MUSA M.D.
Internal Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Jefferson County (409) 898-2994
DR. TOBIN A. SLACK M.D.
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MARIA SUSAN BLAHEY MD
Family Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Jefferson County (409) 898-2994
STEVEN CHAD WILLIAMS CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MICHAEL J. MCCREDIE M.D.
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DEREK CHAMBLESS CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
SHEILA DIAN DEVAUGH APRN
Nurse Practitioner (Family)
755 N 11TH ST, STE. P2200
BEAUMONT, TX 77702
Jefferson County (409) 892-1192

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 Beaumont ASC, LP's NPI number?

The NPI number for Beaumont ASC, LP is 1417409285. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is doing business as Beaumont Heart & Vascular Surgery Center.

Where is Beaumont ASC, LP located?

Beaumont ASC, LP is located at 755 N 11th St Suite P3970b, Beaumont, TX 77702. The listed phone number is (409) 924-3996.

What is Beaumont ASC, LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Beaumont ASC, LP hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Beaumont ASC, LP accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Beaumont ASC, LP 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 Beaumont ASC, LP was last updated on November 9, 2023. 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.