GAUTHAM VELLAICHAMY (MD) – Dermatopathology Physician, NPI 1225659444

GAUTHAM VELLAICHAMY (MD) is a healthcare provider. based in Hoffman estates, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036171734 (IL). The NPI Number for GAUTHAM VELLAICHAMY (MD) is 1225659444

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
GAUTHAM VELLAICHAMY (MD)
NPI
1225659444
Phone
(847) 884-8096
Address
2500 W Higgins Rd Ste 1040
Enumeration Date
28 April 2020
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8157448554
Graduation Year
2020 (6 years ago)
PAC ID
5193141976
Group Practice PAC ID
8628353380
Professional Enrollment ID
I20240910001953
Address ID
IL601692049HO2500XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for GAUTHAM VELLAICHAMY (MD)

  • 2500 W Higgins Rd Ste 1040

    Hoffman Estates, IL 601692049

    Phone: (847) 884-8096

    Fax: (847) 884-8125

    Type: Location

  • 2323 Naper Vl Rd Ste 120

    Naperville, IL 605635606

    Phone: (630) 462-8680

    Fax: (630) 462-8685

    Type: Location

  • 2500 S Highland Ave Ste 320

    Lombard, IL 601485390

    Phone: (630) 793-8193

    Fax: (630) 480-4507

    Type: Location

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (313) 916-2889

    Type: Mailing

  • 100 WOODRUFF CIR NE STE 327

    ATLANTA, GA 303221020

    Phone: (404) 712-1990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $710.

Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($255).

Total Amount

$710

General + Research + Ownership

Payments

14

Total payment records

General Amount

$710

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-09-10

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
I20240910001953IDermatologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60169)

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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: 8628353380View full group profile
NameSpecialtyState
-MI
D E R M A T O L O G YTX
Dermatology, Dermatology, PathologyVA
Physician AssistantMN
Nurse PractitionerMI
D E R M A T O L O G YAZ
Physician AssistantMN
Physician AssistantIN
-IN
Physician AssistantIL

Reviews

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Frequently asked questions

Does GAUTHAM VELLAICHAMY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GAUTHAM VELLAICHAMY (MD) uses 1225659444.
Can I rely on GAUTHAM VELLAICHAMY (MD) being an active provider?
As of the registry snapshot, GAUTHAM VELLAICHAMY (MD) is marked active.
What is GAUTHAM VELLAICHAMY (MD) best known for clinically?
Directory data describes GAUTHAM VELLAICHAMY (MD) with Dermatopathology Physician. Clinical services aligned with this taxonomy classification.
Where is GAUTHAM VELLAICHAMY (MD) based?
GAUTHAM VELLAICHAMY (MD) is tied to Hoffman Estates, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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