Liset Avalos Enriquez, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T9055 Issued in TX

Practice address

1315 W Grand Pkwy S Ste 104
Katy, TX 77494-8290

Phone

(713) 287-0924

NPI assigned

Feb 24, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ideal Care Family Doctor PLLC

  • Family Medicine Physician
  • Katy, TX
  • NPI 1720784135
  Medicare reassignment NPD Authorized official
• Ideal Care Health Management LLC

  • Family Medicine Physician
  • Katy, TX
  • NPI 1386350338
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1356648588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W GRAND PKWY S STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948290",
            "telephone_number": "713-287-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W GRAND PKWY S STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948290",
            "telephone_number": "713-287-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS ENRIQUEZ",
        "first_name": "LISET",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.kareo.com/login-ui/#/login",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1315 W Grand Pkwy S Ste 104",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774948290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austino Angels Inc
• Authentic Adorable Community LLC
• Autism Care Plus LLC
• Autism Care Plus LLC
• Autrey Galpin
• Avalue Options LLC
• Avant Residential and Community Resources Cor.
• Avedis Healths PLLC
• Avens Inc.
• Ioana Manuela Avery, LMFTA

• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.