Organization Active NPI

Katy Family Medicine and Urgent Care Clinic LLC

  • Primary Care Clinic/Center
  • Richmond, TX
National Provider Identifier
1972299089
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KATY FAMILY MEDICINE AND URGENT CARE CLINIC LLC
Practice address
21922 Bellaire Blvd Ste 600
Richmond, TX 77407-3919
Phone
(832) 402-6326
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Stella Ekong, MDNPI 1992764419
Title
Medical Director
Phone
(763) 498-1452

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

21922 Bellaire Blvd Ste 600
Richmond, TX 77407-3919

Mailing address

1230 Ryann Rose Creek LN
Katy, TX 77494-4053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616000002 TX Part B Supplier - Clinic/Group Practice 6002274487 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, 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
45D2288746Katy Family Medicine and Urgent Care21922 Bellaire Blvd Suite 600, Richmond, TX 77407Certificate of waiverAug 29, 2027

National Provider Directory

National Provider Directory

Locations

21922 Bellaire Blvd
Ste 600
Richmond, TX 77407
Phone (832) 402-6326

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": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1972299089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 RYANN ROSE CREEK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21922 BELLAIRE BLVD STE 600",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073919",
            "telephone_number": "832-402-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY FAMILY MEDICINE AND URGENT CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "763-498-1452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.