Active NPI
Lori Michelle Kautzman, M.D.
- Transplant Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- R7781
- Practice address
- 1411 N Beckley Ave Ste 268
Dallas, TX 75203-1260 - Phone
- (214) 947-4400
- Fax
- (214) 947-4404
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 28745 | OK | |
| Transplant Surgery Physician | 204F00000X | R7781 | TX | Primary |
Addresses
Primary practice location
1411 N Beckley Ave Ste 268
Dallas, TX 75203-1260
Mailing address
1411 N Beckley Ave Ste 268
Dallas, TX 75203-1260
Phone (214) 947-4400
Other practice location 1
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3349
Other practice location 2
909 9th Ave Ste 300
Fort Worth, TX 76104-3917
Phone (855) 894-5292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 N Beckley Ave
Suite 152
Dallas, TX 75203-1586
Phone (214) 948-2076
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
1411 N Beckley Ave
Dallas, TX 75203
Phone (214) 947-4699
1411 N Beckley Ave
Ste 268
Dallas, TX 75203
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
1411 N Beckley Ave
Ste 152
Dallas, TX 75203
Phone 2149487700208
914 Lipscomb St
Unit A
Ft Worth, TX 76104
Phone (817) 348-0744
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- lkautzman116419@dm.mhd.com
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1962555888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 268",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031260",
"telephone_number": "214-947-4400",
"fax_number": "214-947-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE STE 268",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031260",
"telephone_number": "214-947-4400",
"fax_number": "214-947-4404"
}
],
"practiceLocations": [
{
"address_1": "3300 NW Expressway",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124418",
"country_code": "US",
"telephone_number": "405-949-3349",
"fax_number": "405-945-5467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "909 9th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043917",
"country_code": "US",
"telephone_number": "855-894-5292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUTZMAN",
"first_name": "LORI",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "28745",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "TX",
"license": "R7781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.