KAITLYN NICOLE VU (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1649910696

KAITLYN NICOLE VU (DPM) is a healthcare provider. based in Villa park, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016006129 (IL). The NPI Number for KAITLYN NICOLE VU (DPM) is 1649910696

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN NICOLE VU (DPM)
NPI
1649910696
Phone
Not provided
Address
1627 S MICHIGAN AVE APT 204
Enumeration Date
29 March 2022
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8478163156
Graduation Year
2022 (4 years ago)
PAC ID
6204335193
Group Practice PAC ID
9436332418
Professional Enrollment ID
I20250818002873
Address ID
IL600485360LI1870XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for KAITLYN NICOLE VU (DPM)

  • 1627 S MICHIGAN AVE APT 204

    VILLA PARK, IL 601814101

    Phone:

    Type: Mailing

  • 3001 GREEN BAY RD

    NORTH CHICAGO, IL 600643048

    Phone: (224) 610-7036

    Type: Location

  • 500 BURLINGTON CIR

    WHEELING, IL 600904114

    Phone:

    Type: Mailing

  • 1870 W WINCHESTER RD

    LIBERTYVILLE, IL 600485358

    Phone: (847) 816-3156

    Type: Location

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: 2025-08-18

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
I20250818002873IPodiatryILTBD

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 60181)

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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: 9436332418View full group profile
NameSpecialtyState
P O D I A T R YIL
-IL
P O D I A T R YIL

Reviews

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Frequently asked questions

What is the registry number for KAITLYN NICOLE VU (DPM)?
The registry entry for KAITLYN NICOLE VU (DPM) shows NPI 1649910696.
Is KAITLYN NICOLE VU (DPM)'s NPI status active today?
Active status means KAITLYN NICOLE VU (DPM)'s NPI record is not deactivated in the public file.
How should patients interpret KAITLYN NICOLE VU (DPM)'s specialty?
The extract shows Foot & Ankle Surgery Podiatrist for KAITLYN NICOLE VU (DPM). Clinical services aligned with this taxonomy classification.
Which community is linked to KAITLYN NICOLE VU (DPM)?
KAITLYN NICOLE VU (DPM) shows a connection to Villa Park, Illinois in registry-derived data.
Who maintains KAITLYN NICOLE VU (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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