Individual provider Active NPI

Thikra J Kadhim, MD

  • Family Medicine Physician
  • Killeen, TX
National Provider Identifier
1477507077
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2665 Issued in TX
Practice address
4520 E Central Texas Expy
Ste 101
Killeen, TX 76543-5276
Phone
(254) 200-9355
Fax
(254) 200-2337
NPI assigned
May 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2665 TX Primary

Addresses

Primary practice location

4520 E Central Texas Expy
Ste 101
Killeen, TX 76543-5276

Mailing address

4520 E Central Texas Expy
Ste 101
Killeen, TX 76543-5276
Phone (254) 634-6999

Other identifiers 6

IdentifierTypeStateIssuer
8U7480OtherTXBLUE CROSS BLUE SHIELD
135182100OtherTXFIRST CARE
203857591OtherTXHUMANA/MILITARY-TRICARE
178347402MedicaidTX
7744772OtherTXAETNA
178347401MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060120000448 TX Practitioner - Family Practice 0547284226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4520 E Central Texas Expy
Suite 101
Killeen, TX 76543-5276
Phone (254) 200-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2665TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Killeen Family Health and Urgent Care, PA Family Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

4520 E Central Texas Expy
Ste 101
Killeen, TX 76543
Phone (254) 200-9355

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477507077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 E CENTRAL TEXAS EXPY",
            "address_2": "STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435276",
            "telephone_number": "254-634-6999",
            "fax_number": "254-200-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 E CENTRAL TEXAS EXPY",
            "address_2": "STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435276",
            "telephone_number": "254-200-9355",
            "fax_number": "254-200-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADHIM",
        "first_name": "THIKRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8U7480",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "135182100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/MILITARY-TRICARE",
            "identifier": "203857591",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178347402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7744772",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178347401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.