TEXAS HEALTH FOUNDATION, INC
NPI 1992473391
Obstetrics & Gynecology in Beaumont, TX

Active since August 31, 2021CLIA 45D2247966 · Waiver
3610 STAGG DR, BEAUMONT, TX 77701(409) 923-0012 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Texas Health Foundation, Inc NPPES

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

TEXAS HEALTH FOUNDATION, INC (NPI 1992473391) is a healthcare organization registered as an obstetrics & gynecology in Beaumont, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Kimberly A Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1992473391
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTEXAS HEALTH FOUNDATION, INC
Location Address3610 STAGG DRBeaumont, TX 77701-3713
Mailing AddressPo Box 7072Beaumont, TX 77726-7072 · (409) 923-0012
Organization SubpartNo
Authorized OfficialKimberly A WilsonPresident · (409) 923-0012
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1992473391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3610 STAGG DR, Beaumont, TX 77701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Texas Health Foundation, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20211028001587Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Texas Health Foundation, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Obstetrics/Gynecology13
Nurse Practitioner4

Clinicians, nearest first (17)

Obstetrics/Gynecology
NPI 1477057040
3610 STAGG DR
Beaumont, TX 77701
(409) 923-0012
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1245244359
3610 STAGG DR
Beaumont, TX 77701
(409) 923-0012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922664903
195 N 11TH ST
Beaumont, TX 77702
(409) 266-1888
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1184040354
755 N 11TH ST SUITE P4200
Beaumont, TX 77702
(409) 899-1499
✔ PECOS1.2 mi
Obstetrics/Gynecology
NPI 1043273873
755 N 11TH ST STE P4200
Beaumont, TX 77702
(409) 899-1499
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1023623964
4347 PHELAN BLVD STE 101
Beaumont, TX 77707
(409) 767-9285
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1538358411
950 WASHINGTON BLVD
Beaumont, TX 77705
(409) 833-1353
✔ PECOS✔ Accepts Medicare2.3 mi
Obstetrics/Gynecology
NPI 1629079231
3560 DELAWARE ST SUITE 1001
Beaumont, TX 77706
(409) 832-8755
✔ PECOS✔ Accepts Medicare2.5 mi
Obstetrics/Gynecology
NPI 1669827887
2855 W LAKE HOUSTON PKWY STE 101
Kingwood, TX 77339
(281) 812-4447
✔ PECOS✔ Accepts Medicare63 mi
Obstetrics/Gynecology
NPI 1770532210
1910 JOHN RALSTON RD
Houston, TX 77013
(713) 451-3030
✔ PECOS69 mi
Obstetrics/Gynecology
NPI 1174012884
8731 KATY FWY STE 420
Houston, TX 77024
(713) 424-4824
✔ PECOS✔ Accepts Medicare85 mi
Obstetrics/Gynecology
NPI 1821583881
8731 KATY FWY STE 420
Houston, TX 77024
(713) 424-4824
✔ PECOS✔ Accepts Medicare85 mi
Obstetrics/Gynecology
NPI 1588853402
12000 RICHMOND AVE STE 215
Houston, TX 77082
(832) 532-7068
✔ PECOS✔ Accepts Medicare91 mi
Obstetrics/Gynecology
NPI 1619968690
19333 CLAY RD
Katy, TX 77449
(713) 462-6565
✔ PECOS96 mi
Obstetrics/Gynecology
NPI 1710984091
800 W CENTRAL TEXAS EXPY SUITE 200
Harker Heights, TX 76548
(254) 519-2229
✔ PECOS223 mi
Obstetrics/Gynecology
NPI 1164429890
3025 N TARRANT PKWY SUITE 240
Fort Worth, TX 76177
(817) 431-1500
✔ PECOS✔ Accepts Medicare271 mi
Obstetrics/Gynecology
NPI 1588168074
1370 DAFFODIL LN
Hampton, GA 30228
(404) 668-3628
✔ PECOS✔ Accepts Medicare621 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 45D2247966

Texas Health Foundation, Inc · Beaumont, TX
Active · expires Jan 10, 2028
CLIA Number45D2247966
Laboratory TypeNonprofit Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorMazin Al Saleh
Laboratory Phone(409) 923-0012
Laboratory LocationTexas Health Foundation, Inc3610 Stagg Drive, Beaumont, TX 77701
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 Texas Health Foundation, Inc's NPI number?

The NPI number for Texas Health Foundation, Inc is 1992473391. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Texas Health Foundation, Inc located?

Texas Health Foundation, Inc is located at 3610 Stagg Dr, Beaumont, TX 77701. The listed phone number is (409) 923-0012.

What is Texas Health Foundation, Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Texas Health Foundation, Inc enrolled in Medicare?

Yes. Texas Health Foundation, Inc is registered in the Medicare PECOS enrollment system.

When is Texas Health Foundation, Inc'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 February 28, 2027. 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 Texas Health Foundation, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Texas Health Foundation, Inc. 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 Obstetrics/Gynecology (13) and Nurse Practitioner (4). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Texas Health Foundation, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2247966) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas Health Foundation, Inc accept?

Health plans from WellPoint list Texas Health Foundation, Inc 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 Texas Health Foundation, Inc was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.