KAITLYN M KOLLMANN (MD) – Dermatology Physician, NPI 1790219814

KAITLYN M KOLLMANN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036.157717 (IL). The NPI Number for KAITLYN M KOLLMANN (MD) is 1790219814

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN M KOLLMANN (MD)
NPI
1790219814
Phone
Not provided
Address
2335 N LINCOLN AVE APT 201
Enumeration Date
14 April 2017
Last Update Date
11 January 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3123191978
Graduation Year
2016 (10 years ago)
PAC ID
1850649120
Group Practice PAC ID
6709116361
Professional Enrollment ID
I20210825000964
Address ID
IL606405259CH1945XAVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for KAITLYN M KOLLMANN (MD)

  • 2335 N LINCOLN AVE APT 201

    CHICAGO, IL 606144360

    Phone:

    Type: Mailing

  • 2845 N SHERIDAN RD

    CHICAGO, IL 606577227

    Phone: (618) 972-7671

    Type: Location

  • 737 N MICHIGAN AVE STE 720

    CHICAGO, IL 606116661

    Phone: (312) 319-1978

    Fax: (312) 262-7791

    Type: Location

  • 4905 Old Orchard Ctr Lowr Level

    Skokie, IL 600771458

    Phone: (312) 319-1978

    Fax: (312) 262-7791

    Type: Location

  • 1945 W Wilson Ave Ste 6119

    Chicago, IL 606405259

    Phone: (312) 319-1978

    Fax: (312) 262-7791

    Type: Location

  • McClurg Court Center, 333, East Ontario Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    APARTMENT 2510B

    CHICAGO, IL 606114804

    Phone:

    Type: Mailing

  • 920 N YORK RD STE 100

    HINSDALE, IL 605213515

    Phone: (312) 319-1978

    Fax: (312) 262-7791

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 250 Open Payments records for all available years, with a total value of $5,416.

Total Amount is formed as General ($5,416) + Research ($0) + Ownership ($0) = $5,416.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,332).

Total Amount

$5,416

General + Research + Ownership

Payments

250

Total payment records

General Amount

$5,416

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-08-25

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
I20210825000964IDermatologyILTBD

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
17003Destruction of precancer skin growth, 2-14 growths53297$0
99213Established patient office or other outpatient visit, 20-29 minutes284193$0
17000Destruction of precancer skin growth, 1 growth183138$0
99203New patient office or other outpatient visit, 30-44 minutes109109$0
11102Biopsy of related skin growth, first growth8478$0
View full utilization report →

Insurance plans in this area (ZIP 60614)

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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: 6709116361View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
Dermatology, Micrographic Dermatologic Surgery (Mds)IL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

Does KAITLYN M KOLLMANN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KAITLYN M KOLLMANN (MD) uses 1790219814.
Does the file indicate KAITLYN M KOLLMANN (MD) is practicing under active NPI?
Directory data currently reports KAITLYN M KOLLMANN (MD) as active.
What healthcare role does KAITLYN M KOLLMANN (MD) hold?
Scheduling teams often label KAITLYN M KOLLMANN (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KAITLYN M KOLLMANN (MD) on a map?
Expect Chicago, Illinois as a primary anchor for KAITLYN M KOLLMANN (MD) unless the record lists multiple sites.
Why does KAITLYN M KOLLMANN (MD) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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