Individual provider Active NPI

Robert Wayne Kautz, O.D.

  • Optometrist
  • Billings, MT
National Provider Identifier
1568432334
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
596 Issued in MT
Practice address
111 S 24TH St W Ste 1
Billings, MT 59102-5659
Phone
(406) 248-1676
Fax
(440) 624-5354
NPI assigned
Jan 25, 2006
Last updated
Mar 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 596 MT Primary

Addresses

Primary practice location

111 S 24TH St W Ste 1
Billings, MT 59102-5659

Mailing address

111 S 24TH St W Ste 1
PO Box 20316
Billings, MT 59102-5659
Phone (406) 248-1676

Other identifiers 6

IdentifierTypeStateIssuer
25971OtherMTBCBS MT
25971OtherMTBLUE CHIP
0480488MedicaidMT
410036137OtherMTRR MEDICARE
8999OtherMTBCBS FEDERAL
1219700001OtherMTCIGNA MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000733 MT Practitioner - Optometry 0840191680 Practice locations: Billings, MT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

805 24TH St W
Suite 9
Billings, MT 59102-3835
Phone (406) 248-1676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: robert.kautz@direct.revolutionehr.com

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1568432334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 24TH ST W STE 1",
            "address_2": "PO BOX 20316",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591025659",
            "telephone_number": "406-248-1676",
            "fax_number": "406-245-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 24TH ST W STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591025659",
            "telephone_number": "406-248-1676",
            "fax_number": "440-624-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZ",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MT",
            "identifier": "25971",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "25971",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480488",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410036137",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "8999",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "1219700001",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.