KELLIWOOD FAMILY PRACTICE
NPI 1487782983
Specialist in Katy, TX
About Kelliwood Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIWOOD FAMILY PRACTICE (NPI 1487782983) is a healthcare organization registered as a specialist in Katy, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through August 21, 2027 and lists Steven C Spencer, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelliwood Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelliwood Family Practice, 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.
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) 45D1038057
Kelliwood Family Practice · Katy, TXFrequently 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 Steven C. Spencer, MD, PA's NPI number?
The NPI number for Steven C. Spencer, MD, PA is 1487782983. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Kelliwood Family Practice.
Where is Steven C. Spencer, MD, PA located?
Steven C. Spencer, MD, PA is located at 701 S Fry Rd Suite 103, Katy, TX 77450. The listed phone number is (281) 398-4222.
What is Steven C. Spencer, MD, PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Steven C. Spencer, MD, PA enrolled in Medicare?
Yes. Steven C. Spencer, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Steven C. Spencer, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Steven C. Spencer, MD, PA. 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.
Does Steven C. Spencer, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1038057) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Steven C. Spencer, MD, PA was last updated on January 19, 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.
# Kelliwood Family Practice · NPI 1487782983
Specialist organization in Katy, Texas. Organization record, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1487782983 (Entity type: Organization)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Steven C. Spencer, Md, Pa
- **Organization subpart:** No
- **Authorized official:** Steven Spencer, PRESIDENT
## Practice location
- **Address:** 701 S FRY RD, SUITE 103, Katy, TX 77450-2255
- **Phone:** (281) 398-4222 · **Fax:** (281) 398-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 00647X (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487782983) · Data from the CMS NPPES public registry.