BESTAWROUS FAMILY CLINIC
NPI 1265600308
Family Medicine in Keller, TX

Active since February 12, 2008
1200 KELLER PKWY, 100, KELLER, TX 76248(817) 741-8011(817) 741-8005 Get Directions Write a Review

NPPES record last updated: December 24, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bestawrous Family Clinic NPPES

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

BESTAWROUS FAMILY CLINIC (NPI 1265600308) is a healthcare organization registered as a family medicine in Keller, Texas and active in the NPI registry since February 2008. The organization lists Reda S Bestawrous, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1265600308
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBESTAWROUS FAMILY CLINIC
Location Address1200 KELLER PKWY, 100Keller, TX 76248
Mailing Address1200 Keller Pkwy, Suite 100Keller, TX 76248 · (817) 741-8011 · Fax (817) 741-8005
Fax(817) 741-8005
Organization SubpartNo
Authorized OfficialReda S BestawrousOwner Physician · (817) 741-8011
Enumeration DateFebruary 12, 2008
Last NPPES UpdateDecember 24, 2008
✔ NPI 1265600308 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 · K3989
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.
1200 KELLER PKWY, Keller, TX 76248

Other Identifiers 3

Other8X1830TX · Bcbs
Medicare PIN0A0056TX
Medicare UPING60895

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bestawrous Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20081208000297Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bestawrous Family Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1811995723
6651 WATAUGA RD STE 104
Watauga, TX 76148
(817) 498-6944
✔ PECOS✔ Accepts Medicare5.1 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 for Provider-Performed Microscopy Procedures (PPMP) 45D1059658

Bestawrous Family Clinic · Keller, TX
Expired · Oct 3, 2026
CLIA Number45D1059658
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorReda S. Bestawrous
Laboratory Phone(817) 741-8011
Laboratory LocationBestawrous Family Clinic1200 Keller Pkwy, Suite 100, Keller, TX 76248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Bestawrous Family Clinic's NPI number?

The NPI number for Bestawrous Family Clinic is 1265600308. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Bestawrous Family Clinic located?

Bestawrous Family Clinic is located at 1200 Keller Pkwy 100, Keller, TX 76248. The listed phone number is (817) 741-8011.

What is Bestawrous Family Clinic's specialty?

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

Is Bestawrous Family Clinic enrolled in Medicare?

Yes. Bestawrous Family Clinic is registered in the Medicare PECOS enrollment system.

When is Bestawrous Family Clinic'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 January 31, 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 Bestawrous Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bestawrous Family Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bestawrous Family Clinic was last updated on December 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.