DR. KATRECE OUTLAW (M.D., MPH) – Emergency Medicine Physician, NPI 1366822637

DR. KATRECE OUTLAW (M.D., MPH) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D., MPH. They hold a License No. 125.066397 (IL). The NPI Number for DR. KATRECE OUTLAW (M.D., MPH) is 1366822637

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATRECE OUTLAW (M.D., MPH)
NPI
1366822637
Phone
(312) 864-6000
Address
1901 W HARRISON ST
Enumeration Date
2 June 2015
Last Update Date
2 June 2015

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7707324000
Graduation Year
2015 (11 years ago)
PAC ID
6709185655
Group Practice PAC ID
3476554320
Professional Enrollment ID
I20190718000504
Address ID
GA301061121AU3950XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. KATRECE OUTLAW (M.D., MPH)

  • 1901 W HARRISON ST

    CHICAGO, IL 606123714

    Phone: (312) 864-6000

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190718000504IEmergency MedicineGATBD
I20250722003913IEmergency MedicineFLTBD
I20250814002428IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making211206$0
99284Emergency department visit with moderate level of medical decision making9693$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476554320View full group profile
NameSpecialtyState
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineLA
Emergency MedicineGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineMN
Emergency MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KATRECE OUTLAW (M.D., MPH)'s NPI?
Yes. DR. KATRECE OUTLAW (M.D., MPH) is listed with NPI 1366822637 in the public NPI dataset.
Is DR. KATRECE OUTLAW (M.D., MPH) still practicing?
DR. KATRECE OUTLAW (M.D., MPH) is currently listed as active in the public NPI registry.
What healthcare role does DR. KATRECE OUTLAW (M.D., MPH) hold?
Scheduling teams often label DR. KATRECE OUTLAW (M.D., MPH) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KATRECE OUTLAW (M.D., MPH) on a map?
Expect Chicago, Illinois as a primary anchor for DR. KATRECE OUTLAW (M.D., MPH) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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