DR. KITTI K OUTLAW (MD) – Plastic and Reconstructive Surgery Physician, NPI 1265435382

DR. KITTI K OUTLAW (MD) is a healthcare provider. based in Mobile, Alabama. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 00018171 (AL). The NPI Number for DR. KITTI K OUTLAW (MD) is 1265435382

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KITTI K OUTLAW (MD)
NPI
1265435382
Phone
(251) 414-1333
Address
3715 DAUPHIN ST STE 6A
Enumeration Date
23 May 2005
Deactivation Date
16 March 2006
Reactivation Date
21 March 2006
Last Update Date
4 March 2019

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
2514141333303
Graduation Year
1993 (33 years ago)
PAC ID
7214909704
Professional Enrollment ID
I20040809000136
Address ID
AL366081774MO3715XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:21State licenses:1Digital endpointsOther names

68 PLASTIC AND RECONSTRUCTIVE SURGERY in AL

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Provider Addresses for DR. KITTI K OUTLAW (MD)

  • Dauphin Street, Country Club Estates, Mobile, Mobile County, Alabama, 36688, United States of America

    MOBILE, AL 366081774

    Phone: (251) 414-1333

    Fax: (351) 414-3006

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Integra LifeSciences Corporation ($90).

Total Amount

$195

General + Research + Ownership

Payments

6

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040809000136IPlastic And Reconstructive SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11104Punch biopsy, first skin growth7663$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
16020Dressing change or removal of burn tissue, less than 5% of total body surface5827$0
99213Established patient office or other outpatient visit, 20-29 minutes5540$0
11606Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm4431$0
View full utilization report →

Insurance plans in this area (ZIP 36608)

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Reviews

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Frequently asked questions

Does DR. KITTI K OUTLAW (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KITTI K OUTLAW (MD) uses 1265435382.
Is DR. KITTI K OUTLAW (MD) listed as active for patients and plans?
The listing shows DR. KITTI K OUTLAW (MD) as active in the NPI system.
What is DR. KITTI K OUTLAW (MD) best known for clinically?
Directory data describes DR. KITTI K OUTLAW (MD) with Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KITTI K OUTLAW (MD) based?
DR. KITTI K OUTLAW (MD) is tied to Mobile, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about DR. KITTI K OUTLAW (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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