Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lizabeth Kaku, MD

Individual provider Family Medicine Physician · NPI 1194999672

Lizabeth Kaku, MD is a Family Practice in Shoreview, Minnesota. Graduated from University of Nebraska College of Medicine in 2007, 19 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Trained at
University of Nebraska College of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone: (651) 483-5461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 257681 (NY)

Record details

NPI number1194999672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Shoreview