Active NPI
Thomas Joseph Killian, MD
- Otolaryngology Physician
- Kerrville, TX
National Provider Identifier
1790948156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D9202
- Practice address
- 1331 Bandera Hwy
Suite 1a
Kerrville, TX 78028-9515 - Phone
- (830) 896-8001
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D9202 | TX | Primary |
Addresses
Primary practice location
1331 Bandera Hwy
Suite 1a
Kerrville, TX 78028-9515
Mailing address
PO Box 470
Hunt, TX 78024-0470
Phone (830) 329-6119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0008413 | Other | TX | DPS REGISTRATION |
| D9202 | Other | TX | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Texas Ear, Nose & Throat, LLP | Otolaryngology | Past | Accepting new patients |
| Charles J Ballay II, MD, PA | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Kerrville, TX
- NPI 1316140221
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- Otolaryngology Physician
- Beaumont, TX
- NPI 1962477406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790948156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 470",
"city": "HUNT",
"state": "TX",
"postal_code": "780240470",
"telephone_number": "830-329-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 BANDERA HWY",
"address_2": "SUITE 1A",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780289515",
"telephone_number": "830-896-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "D9202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS REGISTRATION",
"identifier": "E0008413",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "D9202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.