Individual provider Active NPI

Kevin Mu Tou, M.D.

  • Anesthesiology Physician
  • Southlake, TX
National Provider Identifier
1528261930
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3902000X Issued in TX
Practice address
1100 N Kimball Ave Ste 110
Southlake, TX 76092-4726
Phone
(817) 251-7995
Fax
(817) 398-0016
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3902000X TX Primary
Anesthesiology Physician 207L00000X 2021-02502 NC

Addresses

Primary practice location

1100 N Kimball Ave Ste 110
Southlake, TX 76092-4726

Mailing address

3615 Ocean Dr
Corpus Christi, TX 78411-1342

Other practice location 1

1060 Gaffney Rd
Fort Wainwright, AK 99703-5001
Phone (907) 361-5172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191018000963 TX Practitioner - Anesthesiology 8820386105 Reassigns benefits to 4 organizations
I20210602000852 NE Practitioner - Anesthesiology 8820386105 Reassigns benefits to 1 organization
I20221213000646 NC Practitioner - Anesthesiology 8820386105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3902000XTXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Nebraska LLC Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Mar 2, 2025 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Sep 5, 2019 Accepting new patients
Avalyn Wellness and Ketamine LLC CurrentSince Aug 18, 2024 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Sep 5, 2019 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

2000 E Lamar Blvd
Ste 430
Arlington, TX 76006
Phone (239) 321-5029

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1100 N Kimball Ave
Ste 110
Southlake, TX 76092
Phone (817) 251-7995

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1528261930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924726",
            "telephone_number": "817-251-7995",
            "fax_number": "817-398-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Gaffney Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "997035001",
            "country_code": "US",
            "telephone_number": "907-361-5172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOU",
        "first_name": "KEVIN",
        "middle_name": "MU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "3902000X",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2021-02502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.