DR. LAMIA KADIR M.D.
NPI 1942366638
Family Medicine in Austin, TX

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
3001 PALM WAY STE 134, AUSTIN, TX 78758(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2025, Jul 29, 2024, Dec 6, 2022 (3 updates tracked since 2022).

About Dr. Lamia Kadir M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAMIA KADIR M.D. (NPI 1942366638) is an individual family medicine provider in Austin, Texas, licensed in Texas (M5265) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1942366638
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAMIA KADIRCredential: M.D.
Location Address3001 PALM WAY STE 134Austin, TX 78758-7899
Mailing Address3001 Palm Way Ste 134Austin, TX 78758-7899 · (888) 663-6331 · Fax (512) 692-4337
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 28, 2006
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1942366638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · M5265✔ Licensed in CA · A87494
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3001 PALM WAY STE 134, Austin, TX 78758

Other Identifiers 2

Medicaid613647-02TX
Other0000271908TX · Hmsa Billing Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lamia Kadir M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517905664
PECOS Enrollment IDI20070426000600
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Lamia Kadir reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3001 PALM WAY STE D134
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
Family Medicine
3001 PALM WAY, D1 : 134-138
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
800 N MAIN ST
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
Family Medicine
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
Multi-Specialty
1370 PRAIRIE CITY RD
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3001 PALM WAY STE 134
AUSTIN, TX 78758
Family Medicine
3001 PALM WAY STE 134
AUSTIN, TX 78758
Family Medicine
3001 PALM WAY STE 134
AUSTIN, TX 78758
Physician Assistant
3001 PALM WAY STE 134
AUSTIN, TX 78758
Family Medicine
3001 PALM WAY STE 134
AUSTIN, TX 78758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lamia Kadir's NPI number?

The NPI number for Lamia Kadir is 1942366638. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Lamia Kadir located?

Lamia Kadir practices at 3001 Palm Way Ste 134, Austin, TX 78758. The listed phone number is (888) 663-6331.

What is Lamia Kadir's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lamia Kadir enrolled in Medicare?

Yes. Lamia Kadir is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lamia Kadir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lamia Kadir reassigns Medicare benefits to 6 organizations: One Medical Group Of Texas, P.A. (Austin, TX), Seton Family Of Doctors (Austin, TX), University Of California Irvine (Santa Ana, CA), Regents Of The University Of (Orange, CA), Memorialcare Medical Foundation (Fountain Valley, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lamia Kadir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lamia Kadir accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Lamia Kadir as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lamia Kadir was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.