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IKP FAMILY MEDICINE, P.A.
NPI 1215191697
Family Medicine in Conroe, TX

Active since July 15, 2008CLIA Certified · 2 labs
11026 HIGHWAY 242, CONROE, TX 77385(281) 587-1700(281) 907-6003 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Mar 10, 2023, Apr 29, 2021 and 1 more (4 updates tracked since 2015).

About Ikp Family Medicine, P.a. NPPES

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

IKP FAMILY MEDICINE, P.A. (NPI 1215191697) is a healthcare organization registered as a family medicine in Conroe, Texas and active in the NPI registry since July 2008. The organization holds 2 active CLIA laboratory certificates and lists Timothy Irvine, President/owner, as its authorized official.

NPPES Registry Identity

NPI1215191697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIKP FAMILY MEDICINE, P.A.
Location Address11026 HIGHWAY 242Conroe, TX 77385-4348
Mailing Address21309 Foster Rd, Ste 100Spring, TX 77388-4209 · (281) 587-1700 · Fax (281) 907-6003
Phone(281) 587-1700
Fax(281) 907-6003
Organization SubpartNo
Authorized OfficialTimothy IrvinePresident/owner · (281) 587-1700
Enumeration DateJuly 15, 2008
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1215191697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
11026 HIGHWAY 242, Conroe, TX 77385
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ikp Family Medicine, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Ikp Family Medicine, P.A., which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice5
Nurse Practitioner4
Internal Medicine1

Clinicians, nearest first (10)

Lindsey Freed
Nurse Practitioner
NPI 1396495669
9301 PINECROFT DR STE 100
The Woodlands, TX 77380
(281) 364-1001
✔ PECOS3.6 mi
Alejandra Palmeros Irvine, MD
Family Practice
NPI 1154341915
21309 FOSTER RD SUITE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 mi
Pratik Patel, M.D.
Family Practice
NPI 1235572686
21309 FOSTER RD STE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 mi
Shannon Blackburn, FNP-C
Nurse Practitioner
NPI 1518689611
21309 FOSTER RD
Spring, TX 77388
(281) 587-1700
✔ PECOS9.9 mi
Lady Box, NP
Nurse Practitioner
NPI 1134563083
21309 FOSTER RD STE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS9.9 mi
Timothy Irvine, MD
Family Practice
NPI 1780607382
21309 FOSTER RD SUITE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 mi
Rohit Kashyap, MD
Family Practice
NPI 1942220728
21309 FOSTER RD SUITE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 mi
Anna Lavrova, MD
Internal Medicine
NPI 1275169377
21309 FOSTER RD
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 mi
Colleen Manning, FNP-C
Nurse Practitioner
NPI 1942615786
21309 FOSTER RD STE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 mi
Mark Westbrook, MD
Family Practice
NPI 1548258734
21309 FOSTER RD STE 100
Spring, TX 77388
(281) 587-1700
✔ PECOS✔ Accepts Medicare9.9 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 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 Waiver 45D1059445

Ikp Family Medicine, PA · Spring, TX
Active · expires Sep 28, 2028
CLIA Number45D1059445
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2026
Certificate Expiration DateSeptember 28, 2028
Laboratory DirectorTimothy E. Irvine
Laboratory Phone(281) 587-1700
Laboratory LocationIkp Family Medicine, PA21309 Foster Rd, Ste 100, Spring, TX 77388
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1101498

Ikp Family Medicine · Conroe, TX
Active · expires Jun 25, 2027
CLIA Number45D1101498
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorTimothy E. Irvine, MD
Laboratory Phone(281) 587-1700
Laboratory LocationIkp Family Medicine11026 Highway 242, Conroe, TX 77385
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 Ikp Family Medicine, P.A.'s NPI number?

The NPI number for Ikp Family Medicine, P.A. is 1215191697. It was assigned to this organization in the NPPES registry on July 15, 2008.

Where is Ikp Family Medicine, P.A. located?

Ikp Family Medicine, P.A. is located at 11026 Highway 242, Conroe, TX 77385. The listed phone number is (281) 587-1700.

What is Ikp Family Medicine, P.A.'s specialty?

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

Is Ikp Family Medicine, P.A. enrolled in Medicare?

Yes. Ikp Family Medicine, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ikp Family Medicine, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Ikp Family Medicine, P.A.. 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 Family Practice (5), Nurse Practitioner (4) and Internal Medicine (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ikp Family Medicine, P.A. 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.

When was this NPI record last updated?

The NPPES record for Ikp Family Medicine, P.A. was last updated on September 17, 2024. 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.