Lake Country Family Medicine, P.A.
NPI 1629392063 · Family Medicine Physician · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Country Family Medicine, P.A. is a Family Medicine Physician organization in Fort Worth, TX (NPI 1629392063).
Provider details
- NPI number
- 1629392063
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yung Chen, Owner/Physician(817) 260-0535
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-14
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Lake Country Family Medicine, P.A.'s NPI number?
- Lake Country Family Medicine, P.A.'s National Provider Identifier (NPI) is 1629392063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Country Family Medicine, P.A.?
- Lake Country Family Medicine, P.A. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Country Family Medicine, P.A. located?
- Lake Country Family Medicine, P.A.'s practice location on file with NPPES is 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676.
- What is Lake Country Family Medicine, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Country Family Medicine, P.A. is (817) 260-0535.
- Does Lake Country Family Medicine, P.A. accept Medicare?
- Lake Country Family Medicine, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Country Family Medicine, P.A.?
- The authorized official listed on Lake Country Family Medicine, P.A.'s NPPES record is Yung Chen, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Country Family Medicine, P.A.'s NPI active?
- Yes — Lake Country Family Medicine, P.A.'s NPI (1629392063) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.