Organization Active NPI

Katy Family Physicians PA

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1902218555
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KATY FAMILY PHYSICIANS PA
Practice address
21406 Provincial Blvd
Katy, TX 77450-7587
Phone
(281) 344-2335
Fax
(832) 437-5495
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Dilawar Ajani, MDNPI 1528047115
Title
Medical Director
Phone
(281) 344-2335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

21406 Provincial Blvd
Katy, TX 77450-7587

Mailing address

21406 Provincial Blvd
Katy, TX 77450-7587
Phone (281) 344-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001001145 TX Part B Supplier - Clinic/Group Practice 9638399355 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2109011Katy Family Physicians PA21406 Provincial Blvd, Katy, TX 77450Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

550 Katy Fort Bend Rd
Ste 300
Katy, TX 77494
Phone (281) 224-6119

1850 Avenue D
Katy, TX 77493
Phone (281) 391-1515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1902218555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21406 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "281-344-2335",
            "fax_number": "832-437-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21406 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "281-344-2335",
            "fax_number": "832-437-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "AJANI",
        "authorized_official_first_name": "DILAWAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-344-2335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.