SOUTH KATY MEDICAL CLINIC, P.A.
NPI 1477685485
Internal Medicine in Katy, TX
About South Katy Medical Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH KATY MEDICAL CLINIC, P.A. (NPI 1477685485) is a healthcare organization registered as an internal medicine in Katy, Texas and active in the NPI registry since March 2007. The organization lists Kevin Edward Kendall, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
South Katy Medical Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Katy Medical Clinic, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Patient Reviews User submitted
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Review by Arthur ***** May 31, 2025
5/5Frequently 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 South Katy Medical Clinic, P.A.'s NPI number?
The NPI number for South Katy Medical Clinic, P.A. is 1477685485. It was assigned to this organization in the NPPES registry on March 12, 2007.
Where is South Katy Medical Clinic, P.A. located?
South Katy Medical Clinic, P.A. is located at 22028 Highland Knolls Bldg #d, Katy, TX 77450. The listed phone number is (281) 395-6996.
What is South Katy Medical Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is South Katy Medical Clinic, P.A. enrolled in Medicare?
Yes. South Katy Medical Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is South Katy Medical Clinic, P.A.'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 October 31, 2026. 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 South Katy Medical Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to South Katy Medical Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Katy Medical Clinic, P.A. was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# South Katy Medical Clinic, P.a. · NPI 1477685485
Internal Medicine organization in Katy, Texas. Organization record, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1477685485 (Entity type: Organization)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Kendall, MEDICAL DOCTOR
## Practice location
- **Address:** 22028 HIGHLAND KNOLLS, BLDG #D, Katy, TX 77450-5859
- **Phone:** (281) 395-6996 · **Fax:** (281) 395-6919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2012
- **Other identifiers:** Medicare PIN 00012T (TX); Other 00012T (TX); Medicaid 149260501 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1477685485) · Data from the CMS NPPES public registry.