DR. KATRINY A IKBAL D.O.
NPI 1205084688
Family Medicine in Austin, TX

Active since August 28, 2008Opted out of Medicare · through Jan 1, 2027CLIA 45D2091311 · Waiver
12005 BEE CAVE RD, SUITE A-1, AUSTIN, TX 78738(512) 842-7633 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Katriny A Ikbal D.o. NPPES

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

DR. KATRINY A IKBAL D.O. (NPI 1205084688) is an individual family medicine provider in Austin, Texas, licensed in Texas (N5120) and active in the NPI registry since August 2008. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer, holds a CLIA Waiver certificate valid through August 26, 2026, and maintains a secondary practice location in Lakeway.

NPPES Registry Identity

NPI1205084688
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATRINY A IKBALCredential: D.O.
Location Address12005 BEE CAVE RD, SUITE A-1Austin, TX 78738
Mailing Address12005 Bee Cave Rd, Suite A-1Austin, TX 78738 · (512) 842-7633 · Fax (512) 368-8234
Sole ProprietorYes
Enumeration DateAugust 28, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1205084688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N5120
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12005 BEE CAVE RD, Austin, TX 78738

Secondary Practice Location 1

Location 1311 Ranch Road 620 S, Suite 105Lakeway, TX 78734-4749 · Phone (512) 842-7633 · Fax (512) 368-8234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Katriny A Ikbal D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 45D2091311

Katriny Ikbal PLLC Dba Directmed · Austin, TX
Active · expires Aug 26, 2026
CLIA Number45D2091311
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorKatriny Ikbal
Laboratory Phone(512) 842-7633
Laboratory LocationKatriny Ikbal PLLC Dba Directmed4 Lakeway Centre Ct, Suite C, Austin, TX 78734
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78738 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Pharmacy
12005 BEE CAVE RD, SUITE 1A
AUSTIN, TX 78738
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12005 BEE CAVE RD, SUITE 1A
BEE CAVE, TX 78738

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 Katriny Ikbal's NPI number?

The NPI number for Katriny Ikbal is 1205084688. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Katriny Ikbal located?

Katriny Ikbal practices at 12005 Bee Cave Rd Suite A-1, Austin, TX 78738. The listed phone number is (512) 842-7633.

What is Katriny Ikbal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katriny Ikbal enrolled in Medicare?

No. Katriny Ikbal has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Katriny Ikbal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2091311) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Katriny Ikbal was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.