Kitti K Outlaw, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

00018171 Issued in AL

Practice address

3715 Dauphin St Ste 6a
Mobile, AL 36608-1774

Phone

(251) 414-1333

Fax

(351) 414-3006

NPI assigned

May 23, 2005

Reactivated

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery

Education

Louisiana State University School of Medicine in Shreveport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saad Healthcare Home health agency, Mobile, AL, CCN 017025
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Kitti K. Outlaw, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Mobile, AL
  • NPI 1356538961
  Medicare reassignment Authorized official

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

• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• Saad Enterprises, Inc.

  dba Saad Family Care

  • Home Health Agency
  • Mobile, AL
  • NPI 1265718969
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1265435382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST STE 6A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081774",
            "telephone_number": "251-414-1333",
            "fax_number": "351-414-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST STE 6A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081774",
            "telephone_number": "251-414-1333",
            "fax_number": "351-414-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "KITTI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-03-04",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "00018171",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "00018171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51519924",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937160",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayamie Othello, PHARMD
• Edward Alston Otts, M.D.
• Richard Lemuel Otts, M.D.
• Nhumai Ouisy
• Taylor Bartlett Ousley, MD
• Steven Overlaur, MD
• Carrie Overschmidt, M.S., CCC-A
• Danette Overstreet, CRNP
• Jennifer Overstreet, CRNP
• Leigh Ann Overstreet, CRNA

• Plastic and Reconstructive Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Plastic and Reconstructive Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.

Verify at the official NPI Registry.