Kevin Formes, D.O.
Kevin Formes, D.O. is an Interventional Cardiology Physician in Texarkana, TX, registered under NPI 1497878474.
Getting there
The practice address on file is 2604 SAINT MICHAEL DR STE 346, Texarkana, TX 75503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| M0077 | TX | Interventional Cardiology Physician primary |
This provider holds licence M0077 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Internal Medicine
- PAC ID
- 7517095052
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Texas | I20100504000820 | Practitioner - Internal Medicine |
| Arkansas | I20121205000050 | Practitioner - Internal Medicine |
Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. There are 2 separate enrolment records across 2 states (TX, AR). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Interventional Cardiology covers
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. NUCC Health Care Provider Taxonomy, code 207RI0011X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1497878474 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 6, 2007 |
| Last updated | Dec 17, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.O. |
| Practice address |
2604 SAINT MICHAEL DR STE 346 Texarkana, TX 75503 (903) 614-5750 |
| Mailing address |
1002 TEXAS BLVD STE 401 Texarkana, TX 75501 |
| Other identifiers |
211561001
· Medicaid (TX) P00836010 · Other (TX) 182168003 · Medicaid (AR) 200287540A · Medicaid (OK) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 9 | 7 | 8 | 7 | 8 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 9 | 7 | 7 | 7 | 7 | 4 | 5 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.