STAFFORD FAMILY PRACTICE PLLC
NPI 1780387092
Family Medicine in Stafford, TX
About Stafford Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAFFORD FAMILY PRACTICE PLLC (NPI 1780387092) is a healthcare organization registered as a family medicine in Stafford, Texas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 25, 2027, maintains 2 additional practice locations, and lists Martin Kay, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Stafford Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Stafford Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 45D2326123
Stafford Family Practice · Stafford, 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 Stafford Family Practice PLLC's NPI number?
The NPI number for Stafford Family Practice PLLC is 1780387092. It was assigned to this organization in the NPPES registry on March 24, 2023.
Where is Stafford Family Practice PLLC located?
Stafford Family Practice PLLC is located at 203 Brand Ln Ste 35, Stafford, TX 77477. The listed phone number is (281) 598-6614.
What is Stafford Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stafford Family Practice PLLC enrolled in Medicare?
Yes. Stafford Family Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stafford Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Stafford Family Practice PLLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stafford Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2326123) is associated with this NPI, valid through June 25, 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 Stafford Family Practice PLLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Stafford Family Practice Pllc · NPI 1780387092
Family Medicine organization in Stafford, Texas. Organization record, active in the CMS NPPES registry since March 24, 2023.
## Identity
- **NPI:** 1780387092 (Entity type: Organization)
- **Enumerated:** March 24, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Martin Kay, ADMINISTRATOR
## Practice location
- **Address:** 203 BRAND LN STE 35, Stafford, TX 77477-5317
- **Phone:** (281) 598-6614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1780387092) · Data from the CMS NPPES public registry.