Active NPI
Thekrayat Khader, MD
- Internal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 63268
- Practice address
- 6019 Walnut Grove Rd
Memphis, TN 38120-2113 - Phone
- (901) 226-3610
- Fax
- (901) 226-3612
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 63268 | TN | Primary |
Addresses
Primary practice location
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Mailing address
1475 S Goodlett Grove CV
Cordova, TN 38018-5679
Phone (901) 871-2622
Other practice location 1
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (901) 448-5814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
363 Southcrest Cir
Suite 201
Southaven, MS 38671-4737
Phone (662) 349-0488
8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 726-0200
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital Tipton
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.71 of 100
- Quality
- 71.4
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63268 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital Union County, Inc. | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Memphis Lung Physicians Foundation, Inc. | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Memphis Lung Physicians, P.C. | Past | Accepting new patients |
Locations
363 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0755
363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
-
- Pulmonary Disease Physician
- Germantown, TN
- NPI 1811279656
MS
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Pulmonary Disease Physician
- Memphis, TN
- NPI 1053340166
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1982197653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 S GOODLETT GROVE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380185679",
"telephone_number": "901-871-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202113",
"telephone_number": "901-226-3610",
"fax_number": "901-226-3612"
}
],
"practiceLocations": [
{
"address_1": "920 Madison Ave Ste 447",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381033438",
"country_code": "US",
"telephone_number": "901-448-5814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHADER",
"first_name": "THEKRAYAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "63268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.