Michele Kautzman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.205176 Issued in LA

Practice address

441 Wall Blvd
Gretna, LA 70056-7723

Phone

(504) 361-9800

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Internal Medicine

Education

University of South Alabama College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Thomas Community Health Center IncGroup PAC ID 8527163211, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1003185125

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• St. Thomas Community Health Center, Inc

  • Community/Retail Pharmacy
  • New Orleans, LA
  • NPI 1417786062
  NPD
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1346758323
  NPD
• St. Thomas Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1295757326

  Multi-Specialty

  NPD (past)
• St. Thomas Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1699115600
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1194247825
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1659082105
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1730828419
  NPD (past)

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

• West Jefferson Holdings, LLC

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1932320983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3146",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700543146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567723",
            "telephone_number": "504-361-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZMAN",
        "first_name": "MICHELE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.205176",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2007-00351",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "LA",
            "license": "MD205176",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.205176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183621",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria C. Kang, MD
• Tanya Kapoor-Maini, DO
• Mark David Kappelman, M.D.
• Kare
• Amanda Richelle Karistai, LMSW
• Ora B. Kelley, LCSW, BACS, CCPO-D
• Taylor Kelly
• Kelly Kennedy, MSW, RSW
• Kennise Reed Jubilee Respite Services
• Vandana Mukul Kewalramani

• Internal Medicine Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.