IDEAL CARE FAMILY DOCTOR PLLC
NPI 1720784135
Family Medicine in Katy, TX
About Ideal Care Family Doctor Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDEAL CARE FAMILY DOCTOR PLLC (NPI 1720784135) is a healthcare organization registered as a family medicine in Katy, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Liset Avalos Enriquez, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Ideal Care Family Doctor Pllc 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 Ideal Care Family Doctor PLLC, 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 of Waiver 45D2280539
Ideal Care Family Doctor PLLC · 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 Ideal Care Family Doctor PLLC's NPI number?
The NPI number for Ideal Care Family Doctor PLLC is 1720784135. It was assigned to this organization in the NPPES registry on February 7, 2023.
Where is Ideal Care Family Doctor PLLC located?
Ideal Care Family Doctor PLLC is located at 1315 W Grand Pkwy S Ste 104, Katy, TX 77494. The listed phone number is (713) 287-0924.
What is Ideal Care Family Doctor PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ideal Care Family Doctor PLLC enrolled in Medicare?
Yes. Ideal Care Family Doctor PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ideal Care Family Doctor PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ideal Care Family Doctor PLLC. 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 Ideal Care Family Doctor PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2280539) is associated with this NPI, valid through April 19, 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 Ideal Care Family Doctor PLLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ideal Care Family Doctor Pllc · NPI 1720784135
Family Medicine organization in Katy, Texas. Organization record, active in the CMS NPPES registry since February 7, 2023.
## Identity
- **NPI:** 1720784135 (Entity type: Organization)
- **Enumerated:** February 7, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Liset Avalos Enriquez, MEDICAL DOCTOR
## Practice location
- **Address:** 1315 W GRAND PKWY S STE 104, Katy, TX 77494-8290
- **Phone:** (713) 287-0924
## 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:** March 6, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720784135) · Data from the CMS NPPES public registry.